Wound Care Certification Practice Test Sample Δ X/TwitterThis field is for validation purposes and should be left unchanged.First name*Last name*Email* date 1. A patient with diabetes presents with a deep foot ulcer that penetrates to the bone and is accompanied by signs of osteomyelitis, including localized swelling and purulent drainage from the wound site. What grade is this ulcer according to the Wagner Ulcer Classification System?* a. Grade 1 b. Grade 2 c. Grade 3 d. Grade 4 2. A patient with a chronic lower extremity wound undergoes Transcutaneous Oxygen Measurement (TcPO2) testing to evaluate wound healing potential. At what TcPO2 level does the measurement typically indicate normal tissue oxygenation or good healing potential?* a. Less than 20 mmHg b. 20-40 mmHg c. Greater than 40 mmHg d. Less than 30 mmHg 3. During a skin assessment for a patient with a chronic wound, you are evaluating sensory function in the periwound area. Which type of skin cell is primarily responsible for detecting light touch and texture discrimination, contributing to tactile sensation that may be impaired in neuropathic conditions?* a. Langerhans cells b. Mast cells c. Merkel cells d. Melanocytes 4. A patient presents with a dry, shallow wound with minimal exudate and some necrotic tissue that requires hydration to facilitate autolytic debridement. Which dressing is most appropriate for this wound?* a. Hydrogel b. Foam c. Gauze d. Contact layer 5. A wound care nurse assesses a bedbound elderly patient using the Braden Scale and calculates a total score of 14 based on sensory perception, moisture, activity, mobility, nutrition, and friction/shear subscales. What pressure ulcer risk level does this Braden score indicate?* a. Mild Risk b. Moderate Risk c. High Risk d. Very High Risk 6. A 65-year-old patient with a history of diabetes mellitus undergoes an Ankle-Brachial Index (ABI) assessment as part of a lower extremity wound evaluation. The ABI score is measured at 1.5. What does this finding most likely indicate?* a. Normal arterial blood flow b. Moderate peripheral arterial disease (PAD) c. Non-compressible arteries due to calcification d. Chronic venous insufficiency 7. A 70-year-old patient with a chronic venous leg ulcer is admitted for wound debridement. Laboratory results reveal a blood urea nitrogen (BUN) level of 28 mg/dL, with no other significant abnormalities noted. The patient reports decreased oral intake over the past week and appears mildly lethargic. In the context of wound care, what does this elevated BUN level most likely indicate?* a. Dehydration b. Malnutrition c. Normal renal function d. Overhydration 8. A 78-year-old bedbound patient in a long-term care facility has chronic venous insufficiency with persistent leg edema and a history of healed ulcers. The patient has limited mobility, spends most time at rest, and has no arterial disease (ABI 1.1). Compression therapy is needed to provide sustained pressure for edema control without high fluctuations during minimal activity. Which type of compression bandage is most appropriate for this patient?* a. Elastic (long-stretch) bandage b. Inelastic (short-stretch) bandage c. Non-compression wrap d. Rigid zinc paste bandage 9. A 45-year-old woman with a history of obesity presents to the wound care clinic complaining of chronic bilateral leg pain and swelling that has not responded to diet or exercise. On examination, the lower extremities show symmetrical enlargement from the hips to the ankles, sparing the feet, with tender, easily bruised skin exhibiting a nodular, "orange peel" texture. There is no pitting edema, and elevation does not reduce the swelling. What condition does this presentation most likely describe?* a. Venous insufficiency b. Primary lymphedema c. Lipedema d. Acute cellulitis 10. A 65-year-old patient with uncontrolled diabetes presents with a rapidly progressing necrotic area on the lower leg following a minor trauma. The affected tissue is moist, swollen, and foul-smelling, with blistering, crepitus absent, and signs of systemic infection including fever and leukocytosis. The necrosis is spreading quickly due to bacterial involvement in a well-perfused but infected limb. What type of gangrene does this presentation most likely describe?* a. Dry gangrene b. Wet gangrene c. Gas gangrene d. Necrotizing fasciitis
