WCC Practice Exam: Evidence-Based Wound Care, Exams of Nursing

Download WCC Practice Exam: Evidence-Based Wound Care and more Exams Nursing in PDF only on Docsity! WCC Practice Exam 110 questions and answers 2024 Evidence-based wound care helps ensure Correct Answer is Quality and effectiveness in wound care What is a standard of care Correct Answer is What a reasonable and prudent professional would have done in a similar situation. Actions any reasonable and prudent practitioner will take under similar circumstances The use of an interprofessional Wound team has been shown to Correct Answer is improve clinical outcomes You are working with a new patient who is demonstrating nonadherence with the treatment regimen what is the first step you should take Correct Answer is talk to the patient about the reasons they are not adhering to the plan When do epithelial resurfacing of the incision a car after surgery Correct Answer is within two through three days A patient presents with painful small blisters that form along the affected dermatome on either the left or right side of the body with crust to fall off and two through three weeks what is the most likely ideology of these wound symptoms Correct Answer is Herpes zoster Which treatments are indicated for shingles Correct Answer is calamine lotion, oatmeal bath, and antiviral medications How often should wound care competency for a staff of her, at a minimum Correct Answer is Every year What is your first course of action if a provider orders in inappropriate wound treatment Correct Answer is discuss your concern with the provider and give the rationale for your opinion All of the following are effective patient education techniques except Correct Answer is Use medical terminology What function of the skin does the acid mantle provide Correct Answer is protection One function of the skin is to produce which vitamin Correct Answer is Vitamin D What function of the skin does basal constriction and vasodilation provide Correct Answer is thermoregulation What is the ph range of the skins acid mantle Correct Answer is 4- 6.8 Which skin so provides protection from harmful UV radiation Correct Answer is Melanocytes How many layers does the epidermis contain Correct Answer is 5 Bleeding in a wound indicates tissue trauma goes down to at least which layer Correct Answer is Dermis What is a function of the extracellular matrix in the dermis Correct Answer is provide structural support for cells The primary cells found in the epidermis are the Correct Answer is keratinocytes make up 90% of cells in the epidermis. 8% melanocytes, Langerhans cells, Merkules cells are found near the basement membrane. Three primary sales are Charitan or size Langerhans sales and the melanocytes but the primary cells are keratinocytes What type of underlying tissue was pale yellow and waxy Correct Answer is subCutaneous What are the three parameters assessed when using the push tool Correct Answer is surface area, exited amount, tissue type The patient has numerous small read Matthew surrounding a main lesion what term would use to describe this configuration Correct Answer is Annular What does the distribution of a lesion describe Correct Answer is can I call arrangement of the lesions A patient has circular fluid filled lesions greater than 1 cm in diameter what term would use to describe these lesions Correct Answer is Bulla All of the following our purposes of the comprehensive wound assessment except Correct Answer is Demonstrate the skills of the wound expert I wound assessment should occur at least? What cells are responsible for creating the new extracellular matrix and collagen structures During The proliferative phase of wound healing Correct Answer is Fibroblast How does moist wound healing promote re-epithelialization Correct Answer is Allows for sale migration across the wound How long does it take for the temperature of the room base to return to normal after a dressing change Correct Answer is Four hours What is a cause of wound hypoxia Correct Answer is Eschar on the wound bed What is one factor present in chronic wounds that can delay or stop wound healing Correct Answer is No initial acute bleeding event What effect does uncontrolled blood glucose levels have on wound healing Correct Answer is Reduce collagen synthesis When is debridement contra indicated Correct Answer is stable eschar on a heel When would autolytic debridement be indicated Correct Answer is with minimal to moderate necrotic tissue How long after mechanical disruption of a bio film are anti-microbial treatment most effective Correct Answer is 24 hours The presence of microbes located deeper in wound tissue that are multiplying at a rate that causes a host response indicate the presence of Correct Answer is Local infection Which of the following could be a sign of spreading infection Correct Answer is Standing in the way she When would it be most appropriate to obtain a wound specimen collection Correct Answer is When spreading or systemic infection is suspected Which of the following is a covert subtle signs of a local infection Correct Answer is Hyper granulation What is the recommended time frame for use of a topical anti-microbial agent initially Correct Answer is 14 days/2 weeks What type Uncle and antimicrobial products have studies indicate it is capable of penetrating the matrix of a bio film and penetrating below the surface to affect the underlying bacteria Correct Answer is Cadexomer iodine dressings What topical anti-microbial product is indicated as an adjunct for the prevention and treatment of wound sepsis and patience with second and third-degree burns Correct Answer is Silver sulfadiazine what intervention is considered the gold standard for tissue management of Perry wound hyper keratosis in diabetic foot ulcers Correct Answer is Sharp debridement What agent neutralizes silver nitrate Correct Answer is Normal Celine What does a body mass index of 28.8 indicate Correct Answer is overweight At what percent of lean body mass loss will restoration of lean body mass take priority for protein intake over wound healing Correct Answer is 30% A reasonable A1c goal for most non-pregnant adults with diabetes is Correct Answer is 7% An open bottle of normal Celine should be discarded after Correct Answer is 24 hours What type of cleanser should never be used on open wounds Correct Answer is Skin cleanser's It is important to consider your patience religious and cultural beliefs when choosing what type of topical treatment Correct Answer is Collagen dressings Which dressing would be most appropriate when you need to protect a fragile room base from trauma Correct Answer is Contact layer Which tip is helpful when teaching patients about the application of compression stockings Correct Answer is Use a stocking down or tea aid an application What level of compression is considered therapeutic Correct Answer is 30 - 42mmhg Neuropathic diabetic foot ulcer is most likely to occur at which site Correct Answer is Plantar aspect of the foot What is the gold standard for offloading with diabetic foot ulcers Correct Answer is Total contact cast What type of force causes undermining and tunneling in a pressure injury Correct Answer is Sheer What pressure injury stage involves pool take this tissue loss involving epidermis thermos and into but not through subcutaneous fat Correct Answer is stage three What risk factor must be present for a pressure injury to develop Correct Answer is Mobility/activity limitations What type of support service is classified as an active support surface Correct Answer is alternating pressure surfaces: a powered surface with the capability to change is low distribution properties with or without an applied load Your patient with urinary incontinence presents with a superficial wound on the fatty tissue of the left but I work with diffuse and irregular edges. What type of wound does this most likely represent Correct Answer is Incontinence associated dermatitis What characteristic of a healing incision should be evident between postop day five and nine Correct Answer is healing ridge According to the ISTAP skin tear classification what type of skin tear results in a partial flap loss Correct Answer is Type two A patient presents with a burn characterized by large blisters, Adema, and pain. What burn classification does this represent Correct Answer is superficial partial thickness What area of the body does pyoderma gangrenosum usually affect Correct Answer is legs What is the term used to describe a pocket of pus under the skin surrounded by inflamed tissue Correct Answer is abcess