WCC REVIEW EXAM 3|110 Questions with Verified Answers,100% CORRECT
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WCC
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WCC
WCC REVIEW EXAM 3|110 Questions with Verified Answers
The key factor in healing an arterial ulcer is: - CORRECT ANSWER REVASCULARIZATION - If ischemia is not corrected , wound healing will not occur despite tropical treatment .
Which of the following locations would MOST likely be associated ...
WCC REVIEW EXAM 3|110 Questions with Verified Answers
The key factor in healing an arterial ulcer is: - CORRECT ANSWER
REVASCULARIZATION - If ischemia is not corrected , wound healing will not occur
despite tropical treatment .
Which of the following locations would MOST likely be associated with a
neuroischemic ulcer?
Heel
Lateral aspect of the fifth metatarsophalangeal joint
Medial malleolus
Plantar metatarsal head - CORRECT ANSWER Lateral aspect of the fifth
metatarsophalangeal joint .
other common locations are the margins of the foot , tips of the toes , and
beneath any toe nails
What is the deepest layer of tissue affected in a Stage 3 pressure injury? -
CORRECT ANSWER SUBCUTANEOUS TISSUE . A Stage 3 is a full thickness tissue
loss involving the epidermis , dermis and into but not through subcutaneous fat
What is the deepest layer of tissue that can be affected in a Stage 2 pressure
injury? - CORRECT ANSWER DERMIS . STAGE 2 is a partial thickness tissue loss
involving the epidermis , dermis or both
Your patient has an unstageable pressure injury to the right ischial tuberosity
covered in 50% slough tissue. Once the slough is removed, what is the LOWEST
stage that can be revealed? - CORRECT ANSWER STAGE 3 .
Slough will never be present in Stage 1 or Stage 2 so the lowest stage this
pressure injury can once the extent of tissue damage can be confirmed will be a
Stage 3 .
Your patient has a deep tissue pressure injury to the right heel. It is now 100%
covered by a thin layer of eschar. How would you stage this pressure injury? -
CORRECT ANSWER UNSTAGEABLE ,
,Intact skin with a localized area (usually over a bony prominence) of non-
blanchable erythema describes a Stage: - CORRECT ANSWER STAGE 1
You notice an area of intact skin over the left heel of a patient that is purple in
color and non-blanchable. How would you stage this wound? - CORRECT ANSWER
DEEP TISSUE INJURY
What condition is described as having wound edges that curl under? - CORRECT
ANSWER EPIBOLE - IS A ROLLED / CURLED UNDER EDGES FROM EPITHELIAL
TISSUEMIGRATING DOWN SIDES OF THE WOUND INSTEAD OF ACROSS
A peri-wound skin that is white and wrinkled would be called: - CORRECT ANSWER
MACERATION
Circulation and sweating are the processes the body uses to accomplish what? -
CORRECT ANSWER THERMOREGULATION
A positive Stemmer's sign indicates which disease process? - CORRECT ANSWER
LYMPHEDEMA
All of the following can cause lymphedema EXCEPT:
Chemotherapy
Developmental abnormality
Radiation therapy
Tumor obstruction - CORRECT ANSWER CHEMOTHERAPY.
PRIMARY LYMPHEDEMA IS ATTRIBUTED TO DEVELOPMENTAL ABNORMALITY.
SECONDARY LYMPHEDEMA CAN OCCUR FROM SURGERY , RADIATION THERAPY,
TUMOR OBSTRUCTION OR TRAUMA
What is the term for the vertical distance from the visible surface of the skin to
the deepest area in wound bed? - CORRECT ANSWER DEPTH
For which of the following wounds would biological debridement be
contraindicated?
Neuropathic ulcer
Non-healing traumatic wound
, Wound with 50% slough tissue
Wound with necrotic bone or tendon - CORRECT ANSWER WOUND WITH
NECROTIC BONE OR TENDON .
OTHER CONTRAINDICATIONS ARE : WOUNDS WITH EXPOSED VITAL ORGANS OR
BLOOD VESSELS , WOUNDS LIKELY TO COMMUNICATE WITH CNS AND WOUNDS
WITH POOR PERFUSION.
At what point in the wound infection continuum will a host response FIRST occur?
Colonization
Contamination
Local infection
Spreading infection - CORRECT ANSWER LOCAL INFECTION .
NEITHER COLONIZATION OR CONTAMINATION CASE A HOST RESPONSE OR DELAY
WOUND HEALING .
A darker red appearance to granulation tissue indicates the presence of:
Bacteria
Moisture
Poor blood flow
Pressure - CORRECT ANSWER PRESSURE .
IF TOO MUCH PRESSURE OR TRAUMA IS APPLIED , GRANULATION TISSUE
DARKENS.
Your wound assessment reveals the presence of granulation tissue that extends
above the surface of the wound. This is called: - CORRECT ANSWER
HYPERGRANULATION - A TISSUE CAN BE MOIST AND PINK / RED BUT CAN ALSO
BE DARK RED OR PALE BLUISH- PURPLE
What is the goal of the pressure injury screening?
To confirm or qualify the patient's at risk status for pressure injuries
To determine the appropriate support surface to implement
To document all factors that place an individual at risk for pressure injuries
To rapidly identify patients who are very likely to be at risk for pressure injuries -
CORRECT ANSWER TO RAPIDLY IDENTIFY PATIENTS WHO ARE VERY LIKELY TO BE
AT RISK FOR PRESSURE INJURIES.
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