Wound Care Certification Wound Assessment and Staging 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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Which CEAP classification class describes a patient with active venous ulceration?
Answer: C6
CEAP class C6 designates active venous ulcer, while C5 indicates a healed venous ulcer.
A wound clinician measures a wound as 3 cm × 2 cm at the first visit and 2.5 cm × 1.8 cm at week 2. What percentage of wound area reduction occurred?
Answer: Approximately 25% reduction
Initial area = 6 cm²; week 2 area = 4.5 cm²; reduction = 1.5/6 = 25% — a clinically significant improvement.
What is the primary reason moisture-associated skin damage (MASD) must be distinguished from pressure injuries during wound assessment?
Answer: Treatment strategies differ significantly between the two conditions
MASD and pressure injuries require different treatments; misclassification leads to ineffective care and potential harm.
A wound clinician observes satellite lesions (small wounds) surrounding a primary wound. This finding most likely indicates:
Answer: Spreading infection or cutaneous involvement beyond primary wound
Satellite lesions surrounding a primary wound suggest spreading infection, autoimmune conditions, or malignancy requiring further investigation.
Which assessment technique is used to detect undermining in a wound?
Answer: Using a sterile cotton-tipped applicator to probe beneath wound edges
A sterile cotton-tipped applicator is gently inserted under wound edges to detect and measure undermining depth and direction.
What does the term 'biofilm' mean in the context of wound assessment, and why is it clinically significant?
Answer: A structured community of bacteria embedded in a protective matrix that resists antibiotics
Biofilm is a bacterial community encased in a self-produced matrix that dramatically increases antibiotic resistance and perpetuates wound chronicity.
When a Stage 2 pressure injury heals, how should it be restaged?
Answer: Documented as 'healed Stage 2' — pressure injuries are never restaged downward
Pressure injuries are never restaged downward because the body does not regenerate the same tissue layers that were lost; a healed wound is documented as 'healed Stage 2.'