CWS CWS Wound Assessment and Dressing Selection Questions and Answers 1 — Questions and Answers
Question 1: Which wound characteristic is assessed using the TIME framework's 'M' component?
- Moisture imbalance (Correct answer)
- Microbial load
- Margin definition
- Melanin content
Correct answer: Moisture imbalance
In the TIME framework, 'M' stands for Moisture imbalance, referring to excess exudate or wound desiccation that impairs healing.
Question 2: What does the 'E' in the TIME wound bed preparation framework represent?
- Edge of wound / Epithelial advancement (Correct answer)
- Exudate volume
- Erythema index
- Eschar thickness
Correct answer: Edge of wound / Epithelial advancement
The 'E' in TIME refers to the Edge of the wound, specifically whether the epithelial margin is advancing or stalled.
Question 3: Which dressing type is most appropriate for a heavily exudating wound requiring high absorbency?
- Alginate dressing (Correct answer)
- Transparent film dressing
- Hydrocolloid dressing
- Non-adherent contact layer
Correct answer: Alginate dressing
Alginate dressings, derived from seaweed, form a gel upon contact with exudate and are highly absorbent, making them ideal for heavy-exudate wounds.
Question 4: A wound with slough and necrotic tissue requires which type of debridement when the patient cannot tolerate surgery?
- Autolytic debridement using moisture-retentive dressings (Correct answer)
- Sharp surgical debridement
- Wet-to-dry mechanical debridement
- UV light debridement
Correct answer: Autolytic debridement using moisture-retentive dressings
Autolytic debridement uses the body's own enzymes under a moisture-retentive dressing to soften and liquefy necrotic tissue without pain or trauma.
Question 5: What is the primary purpose of a transparent film dressing?
- Maintain a moist wound environment while allowing gas exchange on low-exudate wounds (Correct answer)
- Absorb heavy exudate
- Deliver topical antimicrobials
- Provide mechanical compression
Correct answer: Maintain a moist wound environment while allowing gas exchange on low-exudate wounds
Transparent film dressings are semi-occlusive, permitting oxygen and moisture vapor exchange while retaining wound moisture for shallow, low-exudate wounds.
Question 6: Which wound depth classification describes full-thickness tissue loss with exposed muscle, bone, or tendon?
- Stage 4 / Category 4 pressure injury (Correct answer)
- Stage 2 pressure injury
- Partial-thickness wound
- Superficial abrasion
Correct answer: Stage 4 / Category 4 pressure injury
Stage 4 pressure injuries involve full-thickness tissue loss with visible or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone.
CWS CWS Wound Assessment and Dressing Selection Questions and Answers 1
Which wound characteristic is assessed using the TIME framework's 'M' component?