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Nursing
ABWM-CWS
ABWM Certified Wound Specialist
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Question: 387
What is the primary function of the lymphatic system in relation to wound healing?
1. Transporting oxygen
2. Removing cellular debris and excess fluid
3. Synthesizing collagen
wer: B
anation: The lymphatic system plays a critical role in removing cellul s, pathogens, and excess interstitial fluid from the wound site, facilita ng.
stion: 388
is a common misconception about the management of burns?
ll burns require surgical intervention. oist wound healing is beneficial. fection is a major complication.
ain management is unnecessary. wer: A
anation: Not all burns require surgical intervention; many can be man
Regulating blood pressure Ans
Expl ar
debri ting
heali
Que
What
1. A
2. M
3. In
4. P
Ans
Expl aged
conservatively. However, proper assessment is crucial to determine the appropriate treatment plan.
Question: 389
Which lymphatic disorder is characterized by a high risk of cellulitis due to compromised lymphatic drainage?
1. Lymphedema
2. Lipedema
3. Hemophilia
4. Thrombosis Answer: A
asing the risk of cellulitis due to stagnant fluid that can harbor bacteri
stion: 390
ound care setting, what does "exudate" refer to?
ead tissue
uid that leaks from blood vessels acterial growth
ranulation tissue wer: B
anation: Exudate refers to the fluid that leaks from blood vessels into nd, containing proteins, nutrients, and cells important for the healing ess.
stion: 391
ch respiratory condition is most likely to lead to hypoxemia, adversely
Explanation: Lymphedema leads to compromised lymphatic drainage,
incre a.
Que
In a w
1. D
2. Fl
3. B
4. G
Ans
Expl a
wou proc
Que
Whi
affecting wound healing?
1. Asthma
2. Pulmonary fibrosis
3. Chronic obstructive pulmonary disease (COPD)
4. All of the above
Explanation: All these conditions can lead to hypoxemia, reducing oxygen availability to tissues and impairing the wound healing process.
Question: 392
ssessing blood glucose levels. onitoring for signs of local infection.
valuating the wound for changes in appearance and healing progress. hecking vital signs regularly.
wer: C
anation: Evaluating the wound for changes in appearance and healing ress after starting a new medication is crucial to identify any potential rse effects related to the medication.
stion: 393
is a common use of stereophotogrammetry in research studies?
valuating patient satisfaction
ssessing economic outcomes of treatment
In a patient with a long-standing leg ulcer who begins taking a new medication, which assessment is most critical?
1. A
2. M
3. E
4. C
Ans Expl
prog adve
Que
What
1. E
2. A
3. Measuring the effects of different dressings on wound healing
4. Monitoring vital signs Answer: C
Explanation: Stereophotogrammetry is commonly used in research studies to measure the effects of different dressings and treatments on wound healing,
Question: 394
Which of the following pharmacological treatments is most beneficial for managing pain in chronic wound patients?
1. Topical anesthetics.
on-steroidal anti-inflammatory drugs (NSAIDs). orticosteroids.
wer: C
anation: NSAIDs are effective for managing inflammation-related pai nic wound patients without the side effects associated with opioids.
stion: 395
ch burn classification is most likely to cause significant scarring and actures if not properly managed?
irst-degree burn
uperficial partial-thickness burn eep partial-thickness burn
ull-thickness burn
wer: D
Systemic opioids.
2. N
3. C
Ans
Expl n in
chro
Que Whi contr
1. F
2. S
3. D
4. F
Ans
Explanation: Full-thickness burns can lead to significant scarring and contractures due to the destruction of skin layers, necessitating careful management and rehabilitation.
Question: 396
What is the primary reason for increased risk of infection in patients with renal
1. Increased urine output
2. Decreased blood urea nitrogen
3. Impaired immune response
anation: Impaired immune response due to renal failure increases eptibility to infections, which is critical in the context of wound healin
stion: 397
ch of the following is a characteristic of a first-degree burn?
edness and swelling listers and severe pain hite, leathery appearance harred and blackened skin
wer: A
anation: First-degree burns are characterized by redness, minor swelli ain limited to the epidermis without blisters.
stion: 398
Enhanced skin barrier function Answer: C
Expl
susc g.
Que
Whi
1. R
2. B
3. W
4. C
Ans
Expl ng,
and p
Que
What is the primary purpose of a Doppler ultrasound in wound assessment?
1. To evaluate wound depth
2. To assess blood flow and vascular status
3. To determine the presence of infection
4. To measure exudate levels
Explanation: Doppler ultrasound is used to assess blood flow and vascular status, helping to identify arterial insufficiency or venous reflux that may affect wound healing.
Question: 399
ation of a hypertrophic scar?
rolonged inflammation.
creased tension on the wound edges. xcessive moisture in the wound environment. enetic predisposition.
wer: C
anation: While excessive moisture can affect healing, prolonged mmation and tension on wound edges are more directly related to the lopment of hypertrophic scars.
stion: 400
patient with arterial insufficiency, what is the most appropriate initia vention?
ompression therapy
In patients with chronic wounds, which factor is least likely to contribute to the form
1. P
2. In
3. E
4. G
Ans Expl
infla deve
Que
For a l
inter
1. C
2. Surgical intervention
3. Offloading pressure
4. Moist wound healing Answer: B
Explanation: In cases of arterial insufficiency, addressing the underlying arterial
problem through surgical intervention may be necessary to restore adequate blood flow and promote healing.
Question: 401
In the context of wound healing, what does the term "dehiscence" refer to?
1. The formation of new granulation tissue
he presence of necrotic tissue
he development of a chronic wound wer: B
anation: Dehiscence refers to the reopening or separation of wound ed occurring after surgical procedures, and can be influenced by factors tion or insufficient healing.
stion: 402
context of wound healing, what role do macrophages primarily play
hey promote vascularization.
hey remove debris and pathogens. hey produce collagen.
hey provide a barrier against pathogens.
wer: B
The separation of wound edges
2. T
3. T
Ans
Expl ges,
often like
infec
Que
In the ?
1. T
2. T
3. T
4. T
Ans
Explanation: Macrophages play a critical role in wound healing by removing debris and pathogens, thus facilitating the healing process and promoting tissue repair.
Question: 403
Which of the following best describes the term "dehiscence"?
1. Formation of new tissue
2. Separation of wound edges
3. Development of a chronic wound
anation: Dehiscence refers to the separation of wound edges, often rring after surgical procedures, and can impede healing and increase tion risk.
stion: 404
is the most effective method for managing a wound with biofilm?
pplication of occlusive dressings harp debridement
se of topical antibiotics egular cleansing with saline
wer: B
anation: Sharp debridement is the most effective method for managin nds with biofilm, as it removes the biofilm and promotes healing.
stion: 405
Presence of infection Answer: B
Expl occu infec
Que
What
1. A
2. S
3. U
4. R
Ans
Expl g
wou
Que
In the context of renal function, which condition is most likely to lead to mineral and bone disorder, affecting wound healing?
1. Chronic kidney disease
2. Acute kidney injury
3. Nephrotic syndrome
4. Glomerulonephritis
Answer: A
Explanation: Chronic kidney disease often leads to mineral and bone disorders due to imbalances in calcium and phosphate metabolism, which can negatively impact overall health and wound healing.
stion: 406
is the main disadvantage of mechanical debridement?
is time-consuming.
can cause damage to healthy tissue. requires specialized training.
does not remove necrotic tissue effectively. wer: B
anation: Mechanical debridement can damage healthy tissue during th ess, which may impede healing and contribute to further complication
stion: 407
hat scenario is enzymatic debridement particularly beneficial?
cute traumatic wounds hronic wounds with eschar
Que
What
1. It
2. It
3. It
4. It
Ans
Expl e
proc s.
Que
In w
1. A
2. C
3. Wounds with active infection
4. Superficial burns
Answer: B
Explanation: Enzymatic debridement is beneficial for chronic wounds with eschar, as it can effectively break down necrotic tissue without the need for surgical intervention.

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