Wound Care Certification Exam Wound Care Certification Knowledge 2 — Questions and Answers
Question 1: Which type of wound dressing is most appropriate for a heavily exuding wound?
- Hydrocolloid
- Alginate (Correct answer)
- Transparent film
- Hydrogel
Correct answer: Alginate
Alginate dressings are highly absorbent and ideal for heavily exuding wounds.
Question 2: What does the 'T' in the TIME framework for wound bed preparation stand for?
- Tissue (Correct answer)
- Temperature
- Texture
- Tension
Correct answer: Tissue
In the TIME framework, 'T' stands for Tissue (non-viable or deficient tissue management).
Question 3: A patient with a venous leg ulcer should be treated with compression therapy delivering how many mmHg at the ankle?
- 10–20 mmHg
- 20–30 mmHg
- 30–40 mmHg (Correct answer)
- 40–50 mmHg
Correct answer: 30–40 mmHg
Therapeutic compression for venous leg ulcers requires 30–40 mmHg at the ankle level.
Question 4: Which factor is MOST responsible for converting an acute wound to a chronic wound?
- Bacterial biofilm formation
- Decreased collagen synthesis
- Low tissue oxygen tension
- Elevated matrix metalloproteinase activity (Correct answer)
Correct answer: Elevated matrix metalloproteinase activity
Elevated MMPs degrade growth factors and extracellular matrix proteins, stalling the healing cascade and chronifying wounds.
Question 5: When performing sharp debridement, the clinician should stop at which tissue layer?
- Epidermis
- Dermis
- Viable tissue (Correct answer)
- Subcutaneous fat
Correct answer: Viable tissue
Sharp debridement removes necrotic tissue only and should stop at the first evidence of viable, bleeding tissue.
Question 6: Which staging system is specifically designed for pressure injuries?
- Wagner Classification
- NPUAP/EPUAP Staging System (Correct answer)
- Rutherford Classification
- Breslow Scale
Correct answer: NPUAP/EPUAP Staging System
The NPUAP/EPUAP Staging System (Stages I–IV plus unstageable and deep tissue) is the standard for pressure injuries.
Question 7: A wound with 100% yellow slough and moderate exudate would best benefit from which debridement method?
- Autolytic debridement (Correct answer)
- Mechanical debridement
- Enzymatic debridement
- Biological debridement
Correct answer: Autolytic debridement
Autolytic debridement using moisture-retentive dressings selectively liquefies slough while being gentle on surrounding tissue.
Wound Care Certification Exam Wound Care Certification Knowledge 2
Which type of wound dressing is most appropriate for a heavily exuding wound?