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ABWM-CWS : ABWM Certified Wound Specialist Exam

Nursing ABWM-CWS Questions & Answers

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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

  4. Regulating blood pressure Answer: B

Explanation: The lymphatic system plays a critical role in removing cellular debris, pathogens, and excess interstitial fluid from the wound site, facilitating healing.


Question: 388

What is a common misconception about the management of burns?


  1. All burns require surgical intervention.

  2. Moist wound healing is beneficial.

  3. Infection is a major complication.

  4. Pain management is unnecessary. Answer: A

Explanation: Not all burns require surgical intervention; many can be managed 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

Explanation: Lymphedema leads to compromised lymphatic drainage, increasing the risk of cellulitis due to stagnant fluid that can harbor bacteria.


Question: 390

In a wound care setting, what does "exudate" refer to?


  1. Dead tissue

  2. Fluid that leaks from blood vessels

  3. Bacterial growth

  4. Granulation tissue Answer: B

Explanation: Exudate refers to the fluid that leaks from blood vessels into a wound, containing proteins, nutrients, and cells important for the healing process.


Question: 391

Which respiratory condition is most likely to lead to hypoxemia, adversely 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

In a patient with a long-standing leg ulcer who begins taking a new medication, which assessment is most critical?


  1. Assessing blood glucose levels.

  2. Monitoring for signs of local infection.

  3. Evaluating the wound for changes in appearance and healing progress.

  4. Checking vital signs regularly. Answer: C

Explanation: Evaluating the wound for changes in appearance and healing progress after starting a new medication is crucial to identify any potential adverse effects related to the medication.


Question: 393

What is a common use of stereophotogrammetry in research studies?


  1. Evaluating patient satisfaction

  2. Assessing economic outcomes of treatment

  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.

  2. Systemic opioids.

  3. Non-steroidal anti-inflammatory drugs (NSAIDs).

  4. Corticosteroids. Answer: C

Explanation: NSAIDs are effective for managing inflammation-related pain in chronic wound patients without the side effects associated with opioids.


Question: 395

Which burn classification is most likely to cause significant scarring and contractures if not properly managed?


  1. First-degree burn

  2. Superficial partial-thickness burn

  3. Deep partial-thickness burn

  4. Full-thickness burn Answer: D

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

  4. Enhanced skin barrier function Answer: C

Explanation: Impaired immune response due to renal failure increases susceptibility to infections, which is critical in the context of wound healing.


Question: 397

Which of the following is a characteristic of a first-degree burn?


  1. Redness and swelling

  2. Blisters and severe pain

  3. White, leathery appearance

  4. Charred and blackened skin Answer: A

Explanation: First-degree burns are characterized by redness, minor swelling, and pain limited to the epidermis without blisters.


Question: 398

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

In patients with chronic wounds, which factor is least likely to contribute to the formation of a hypertrophic scar?


  1. Prolonged inflammation.

  2. Increased tension on the wound edges.

  3. Excessive moisture in the wound environment.

  4. Genetic predisposition. Answer: C

Explanation: While excessive moisture can affect healing, prolonged inflammation and tension on wound edges are more directly related to the development of hypertrophic scars.


Question: 400

For a patient with arterial insufficiency, what is the most appropriate initial intervention?


  1. Compression therapy

  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

  2. The separation of wound edges

  3. The presence of necrotic tissue

  4. The development of a chronic wound Answer: B

Explanation: Dehiscence refers to the reopening or separation of wound edges, often occurring after surgical procedures, and can be influenced by factors like infection or insufficient healing.


Question: 402

In the context of wound healing, what role do macrophages primarily play?


  1. They promote vascularization.

  2. They remove debris and pathogens.

  3. They produce collagen.

  4. They provide a barrier against pathogens. Answer: B

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

  4. Presence of infection Answer: B

Explanation: Dehiscence refers to the separation of wound edges, often occurring after surgical procedures, and can impede healing and increase infection risk.


Question: 404

What is the most effective method for managing a wound with biofilm?


  1. Application of occlusive dressings

  2. Sharp debridement

  3. Use of topical antibiotics

  4. Regular cleansing with saline Answer: B

Explanation: Sharp debridement is the most effective method for managing wounds with biofilm, as it removes the biofilm and promotes healing.


Question: 405

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.


Question: 406

What is the main disadvantage of mechanical debridement?


  1. It is time-consuming.

  2. It can cause damage to healthy tissue.

  3. It requires specialized training.

  4. It does not remove necrotic tissue effectively. Answer: B

Explanation: Mechanical debridement can damage healthy tissue during the process, which may impede healing and contribute to further complications.


Question: 407

In what scenario is enzymatic debridement particularly beneficial?


  1. Acute traumatic wounds

  2. Chronic wounds with eschar

  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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