WTA practice test questions

Last updated about 3 years ago

22 questions

1

Which of the following statements is correct regarding tissue regeneration?

Muscle tissue is unable to regenerate.

Subcutaneous tissues heal by regeneration.

Full-thickness wounds heal by regeneration.

Epidermal wounds are unable to regenerate.

Which of the following dressings is indicated for a superficial, partial-thickness wound with minimal drainage?

Hydrocolloid.

Collagenase ointment.

Silver dressing.

Calcium alginate. 

A patient in a semi-conscious state with excessive perspiration has Stage 4 pressure injuries on both trochanters. The Braden subscale score for moisture is “1” and the subscale score for mobility is “1”. Which of the following support surfaces is most appropriate?

Pressure redistribution surface with low air loss feature.

Water mattress.

4-inch foam overlay. 

 Static air overlay. 

A patient has a sacral pressure injury that is clean but not healing after 4 weeks of pressure relief and appropriate topical therapy using moist wound healing. Which of the following represents the most appropriate intervention at this time?

Change the dressing more frequently.

Try a different dressing.

Refer the patient for surgical debridement.

Evaluate for nutritional deficiencies or silent infection.

Where are lower extremity ischemic ulcers typically located?

On the plantar aspect of the foot.

On the tips of toes or in areas of trauma.

Around the medial malleoli

Around the calf area.

Which of the following findings is characteristic of venous insufficiency?

Decreased pulse

Decreased sensation. 

Hemosiderin staining.

Dependent rubor. 

Which of the following products is most appropriate to promote autolytic debridement of a wound with soft slough and minimal drainage that measures 2 cm (L) x 3 cm (W) x 1 cm (D)?

Hydrogel impregnated gauze packing.

Polyurethane foam cover.

Dry gauze packing.

Transparent adhesive film cover.

Which of the following is a risk factor for lower extremity arterial disease?

Anemia.

Deep vein thrombosis. 

Hyperlipidemia.

Infection.

Which of the following can be utilized to provide therapeutic compression for patients with ulcers due to venous insufficiency?

Elastic wraps. 

Total contact casts.

Anti-embolism stockings. 

Intermittent sequential compression devices.

Which of the following findings is most indicative of a wound infection?

Periwound maceration greater than 2 cm.

Serosanguineous drainage.

Non-healing wound. 

Red tissue in the wound bed.

Which of the following statements is correct regarding debridement?

Wet-to-dry dressings provide selective debridement and are appropriate for  granulating wounds. 

Silver dressings are compatible with enzymes for chemical debridement. 

Wet-to-dry dressings with woven gauze cause trauma and bleeding of the wound  tissue and are not usually recommended

Power sprays at 8 psi are effective to debride dry, black, fixed eschar. 

The presence of a cavity under the periwound that is caused by shear forces is called:

Undermining

Induration    (thickening & hardening of tissue)

Fistulae

Fluctuance.     (a fluid-filled structure, such as an abscess, that produces a wave-like motion when palpated.)

The appearance of a surgical incision on day number 2 post-operatively on a patient with a suppressed immune system would most likely include which of the following?

Absence of inflammation.

Hypertrophic scar tissue

Excess granulation tissue in the wound bed.

Intense erythema at the wound edges

Which of the following statements is correct regarding the importance of blood glucose control as it relates to wound healing in the patient with diabetes?

Hyperglycemia enhances collagen synthesis.

Hyperglycemia inhibits leukocyte function.

Blood sugar levels should be maintained at 200.

Normal blood sugars inhibit phagocytosis.

What is the primary focus in managing a Stage 1 pressure injury?

Treat for infection

Eliminate causative factors.

Increase nutritional support.

Use topical dressing to protect injury. 

The primary purpose of utilizing total contact casting to treat neuropathic ulcers is to:

Provide compression.

Decrease edema

Promote venous return.

Redistribute-offload body weight

A patient has an infected, draining, odorous wound on the sacrum that has 60% yellow, necrotic slough. Which of the following is an appropriate dressing?

Hydrogel dressing. 

Sodium hypochlorite dressing.

Platelet derived growth factor dressing.

Hydrocolloid dressing.

What is the primary goal in managing a wound in the proliferative phase?

Elimination of infection. 

Maintenance of a clean moist wound surface. 

Routine curettage of wound surface. 

Removal of necrotic tissue.

Which of the following dressings is most appropriate to promote autolysis of a sacral wound with white, dry devitalized tissue?

Transparent adhesive thin film

Polyurethane foam.

Calcium alginate

Hypertonic sodium impregnated dry gauze.

A wheelchair-bound patient with a relatively painless wound around the medial malleolus has palpable pulses, an ABI of 0.90, pitting edema of the lower extremity, and brownish discoloration around the wound. The wound measures 6 cm (L) x 6 cm (W) x 0.60 cm (D) has red tissue in the base, and large amounts of exudate. Which of the following represents the most appropriate treatment option?

Enzymatic ointment and elastic wraps. 

Hydrocolloid dressing and anti-embolic support stockings.

Calcium alginate dressing and 4-layer compression wrap.

Foam absorptive dressings and an Unna’s boot.

Which of the following patients would benefit most from topical growth factor therapy?

Patient with HIV and Stage 4 trochanteric pressure injuries and malnutrition.

Patient with paraplegia and infected ischial pressure injuries.

Patient with chronic venous stasis ulcers who is non-compliant with compression.

Patient with diabetes and a non-healing, non-necrotic ulcer.

Hyperbaric oxygen therapy is most appropriate for patients with which of the following wounds?

Dry gangrenous toe on patient with diabetes and LEAD. 

Stage 2 pressure injury on the sacral area

Venous stasis ulcer with hypertrophic granulation tissue. 

Diabetic foot ulcer that probes to the bone.

Which of the following statements is correct regarding tissue regeneration?

Muscle tissue is unable to regenerate.

Subcutaneous tissues heal by regeneration.

Full-thickness wounds heal by regeneration.

Epidermal wounds are unable to regenerate.

Which of the following dressings is indicated for a superficial, partial-thickness wound  with minimal drainage?

Hydrocolloid.

Collagenase ointment.

Silver dressing.

Calcium alginate. 

A patient in a semi-conscious state with excessive perspiration has Stage 4 pressure  injuries on both trochanters. The Braden subscale score for moisture is “1” and the  subscale score for mobility is “1”. Which of the following support surfaces  is most appropriate?

Pressure redistribution surface with low air loss feature.

Water mattress.

4-inch foam overlay. 

 Static air overlay. 

A patient has a sacral pressure injury that is clean but not healing after 4 weeks of  pressure relief and appropriate topical therapy using moist wound healing. Which of the  following represents the most appropriate intervention at this time?

Change the dressing more frequently.

Try a different dressing.

Refer the patient for surgical debridement.

Evaluate for nutritional deficiencies or silent infection.

Where are lower extremity ischemic ulcers typically located?

On the plantar aspect of the foot.

On the tips of toes or in areas of trauma.

Around the medial malleoli

Around the calf area.

Which of the following findings is characteristic of venous insufficiency?

Decreased pulse

Decreased sensation. 

Hemosiderin staining.

Dependent rubor. 

Which of the following products is most appropriate to promote autolytic debridement of  a wound with soft slough and minimal drainage that measures 2 cm (L) x 3 cm (W) x 1  cm (D)?

Hydrogel impregnated gauze packing.

Polyurethane foam cover.

Dry gauze packing.

Transparent adhesive film cover.

Which of the following is a risk factor for lower extremity arterial disease?

Anemia.

Deep vein thrombosis. 

Hyperlipidemia.

Infection.

Which of the following can be utilized to provide therapeutic compression for patients  with ulcers due to venous insufficiency?

Elastic wraps. 

Total contact casts.

Anti-embolism stockings. 

Intermittent sequential compression devices.

Which of the following findings is most indicative of a wound infection?

Periwound maceration greater than 2 cm.

Serosanguineous drainage.

Non-healing wound. 

Red tissue in the wound bed.

Which of the following statements is correct regarding debridement?

Wet-to-dry dressings provide selective debridement and are appropriate for  granulating wounds. 

Silver dressings are compatible with enzymes for chemical debridement. 

Wet-to-dry dressings with woven gauze cause trauma and bleeding of the wound  tissue and are not usually recommended

Power sprays at 8 psi are effective to debride dry, black, fixed eschar. 

The presence of a cavity under the periwound that is caused by shear forces is called:

Undermining

Induration    (thickening & hardening of tissue)

Fistulae

Fluctuance.     (a fluid-filled structure, such as an abscess, that produces a wave-like motion when palpated.)

The appearance of a surgical incision on day number 2 post-operatively on a patient with  a suppressed immune system would most likely include which of the following?

Absence of inflammation.

Hypertrophic scar tissue

Excess granulation tissue in the wound bed.

Intense erythema at the wound edges

Which of the following statements is correct regarding the importance of blood glucose  control as it relates to wound healing in the patient with diabetes?

Hyperglycemia enhances collagen synthesis.

Hyperglycemia inhibits leukocyte function.

Blood sugar levels should be maintained at 200.

Normal blood sugars inhibit phagocytosis.

What is the primary focus in managing a Stage 1 pressure injury?

Treat for infection

Eliminate causative factors.

Increase nutritional support.

Use topical dressing to protect injury. 

The primary purpose of utilizing total contact casting to treat neuropathic ulcers is to:

Provide compression.

Decrease edema

Promote venous return.

Redistribute-offload body weight

A patient has an infected, draining, odorous wound on the sacrum that has 60% yellow,  necrotic slough. Which of the following is an appropriate dressing?

Hydrogel dressing. 

Sodium hypochlorite dressing.

Platelet derived growth factor dressing.

Hydrocolloid dressing.

What is the primary goal in managing a wound in the proliferative phase?

Elimination of infection. 

Maintenance of a clean moist wound surface. 

Routine curettage of wound surface. 

Removal of necrotic tissue.

Which of the following dressings is most appropriate to promote autolysis of a sacral wound with white, dry devitalized tissue?

Transparent adhesive thin film

Polyurethane foam.

Calcium alginate

Hypertonic sodium impregnated dry gauze.

A wheelchair-bound patient with a relatively painless wound around the medial malleolus  has palpable pulses, an ABI of 0.90, pitting edema of the lower extremity, and brownish  discoloration around the wound. The wound measures 6 cm (L) x 6 cm (W) x 0.60 cm (D)  has red tissue in the base, and large amounts of exudate. Which of the following  represents the most appropriate treatment option?

Enzymatic ointment and elastic wraps. 

Hydrocolloid dressing and anti-embolic support stockings.

Calcium alginate dressing and 4-layer compression wrap.

Foam absorptive dressings and an Unna’s boot.

Which of the following patients would benefit most from topical growth factor therapy?

Patient with HIV and Stage 4 trochanteric pressure injuries and malnutrition.

Patient with paraplegia and infected ischial pressure injuries.

Patient with chronic venous stasis ulcers who is non-compliant with compression.

Patient with diabetes and a non-healing, non-necrotic ulcer.

Hyperbaric oxygen therapy is most appropriate for patients with which of the following  wounds?

Dry gangrenous toe on patient with diabetes and LEAD. 

Stage 2 pressure injury on the sacral area

Venous stasis ulcer with hypertrophic granulation tissue. 

Diabetic foot ulcer that probes to the bone.