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Wound Care Certification Knowledge Flashcards

7 cards from real Wound Care Certification Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which phase of wound healing is characterized by contraction of the wound and collagen remodeling, and can last up to 2 years?

    Answer: Maturation (remodeling) phase

    The maturation or remodeling phase replaces type III collagen with stronger type I collagen and reorganizes the matrix over months to years.

  2. A fistula is best defined as:

    Answer: An abnormal opening between two epithelium-lined organs or surfaces

    A fistula is an abnormal communication between two epithelialized surfaces, such as an enteric-cutaneous fistula.

  3. Which clinical sign best differentiates wound infection from critical colonization?

    Answer: Presence of systemic fever and erythema extending beyond the wound margin

    Systemic signs (fever, spreading cellulitis) distinguish wound infection from colonization, which lacks host inflammatory response.

  4. The PUSH tool (Pressure Ulcer Scale for Healing) evaluates wound status based on which three parameters?

    Answer: Surface area, exudate amount, and tissue type

    The PUSH tool scores wounds on surface area (length × width), exudate amount, and tissue type to track healing progress.

  5. Maggot debridement therapy (MDT) is contraindicated in wounds that:

    Answer: Communicate with body cavities or have exposed vessels

    MDT is contraindicated when the wound communicates with a body cavity or has exposed vessels due to risk of migration and hemorrhage.

  6. A patient has a pressure injury with full-thickness tissue loss where bone, tendon, or muscle is exposed. This is classified as:

    Answer: Stage IV

    Stage IV pressure injuries involve full-thickness tissue loss with exposed or directly palpable bone, tendon, or muscle.

  7. Which laboratory value is considered the most reliable indicator of nutritional status relevant to wound healing?

    Answer: Prealbumin (transthyretin)

    Prealbumin has a short half-life (~2–3 days) making it a more sensitive marker of acute nutritional changes than albumin (half-life ~20 days).