Wound Care Certification Exam Wound Care Certification Wound Assessment and Staging 3 — Questions and Answers
Question 1: Which finding on wound assessment indicates the wound is in the proliferative phase of healing?
- Presence of fibrin slough covering 50% of the wound bed
- Bright red granulation tissue filling the wound bed (Correct answer)
- Eschar covering the wound base
- Wound edges rolled under (epibole)
Correct answer: Bright red granulation tissue filling the wound bed
Bright red granulation tissue indicates active angiogenesis and collagen synthesis, hallmarks of the proliferative healing phase.
Question 2: A wound is 4 cm long, 3 cm wide, and 2 cm deep. What is the wound volume using the length × width × depth calculation?
- 12 cm³
- 24 cm³ (Correct answer)
- 9 cm³
- 14 cm³
Correct answer: 24 cm³
Wound volume = 4 × 3 × 2 = 24 cm³, though this formula overestimates volume compared to cavity fill methods.
Question 3: Epibole (rolled wound edges) indicates which healing problem?
- Wound infection preventing closure
- Epithelial cells rolling inward preventing resurfacing (Correct answer)
- Excessive granulation tissue overgrowth
- Deep tissue destruction progressing outward
Correct answer: Epithelial cells rolling inward preventing resurfacing
Epibole occurs when epithelial cells roll under the wound edge rather than migrating across the wound bed, halting resurfacing.
Question 4: When assessing a venous leg ulcer, which finding is most characteristic and expected?
- Pale wound bed with minimal exudate
- Irregular wound margins with moderate to heavy exudate (Correct answer)
- Deep wound with exposed tendon
- Punched-out appearance with regular borders
Correct answer: Irregular wound margins with moderate to heavy exudate
Venous ulcers characteristically present with irregular margins, heavy fibrinous exudate, and often ruddy granulation tissue.
Question 5: Which assessment finding best differentiates an arterial ulcer from a venous ulcer?
- Location on the lower extremity
- Presence of wound exudate
- Pale wound bed with minimal drainage and painful (Correct answer)
- Irregular wound edges with hyperpigmentation
Correct answer: Pale wound bed with minimal drainage and painful
Arterial ulcers typically have a pale, necrotic wound bed with minimal exudate and are painful due to ischemia, contrasting with venous ulcers.
Question 6: What does a positive probe-to-bone test indicate in a diabetic foot wound assessment?
- Wound depth extends to subcutaneous tissue
- High likelihood of osteomyelitis (Correct answer)
- Presence of biofilm in the wound
- Neuropathy affecting wound healing
Correct answer: High likelihood of osteomyelitis
A positive probe-to-bone test (sterile probe contacts bone) has high specificity for osteomyelitis in diabetic foot wounds.
Question 7: Which term describes new pink/purple tissue growing across a wound surface from the edges toward the center?
- Granulation
- Epithelialization (Correct answer)
- Fibrinolysis
- Contraction
Correct answer: Epithelialization
Epithelialization is the migration of epithelial cells across the wound surface to restore the skin barrier.
Wound Care Certification Exam Wound Care Certification Wound Assessment and Staging 3
Which finding on wound assessment indicates the wound is in the proliferative phase of healing?