TheoryDWC Diabetic Wound Care Prep
Practice Test
Practice 501+ real DWC Diabetic Wound Care Prep questions with clear explanations, realistic mock exams, and progress tracking - free to start and fully offline.
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DWC Diabetic Wound Care Prep exam — full Q&A walkthrough
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30 free DWC Diabetic Wound Care Prep questions
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DWC Diabetic Wound Care Prep
A 78-year-old with mild dementia, diabetic foot ulcer, and poor glycemic control lives alone. What is the appropriate management?
Correct — D. Simplifying treatment and ordering home health supervision ensures adherence in patients with cognitive impairment and limited support. -
DWC Diabetic Wound Care Prep
A referral involves a stable, shallow diabetic foot ulcer with good perfusion. What is the appropriate triage decision?
Correct — A. Low-risk, stable chronic wounds should be managed in community outpatient settings to prevent resource mismanagement at tertiary centers. -
DWC Diabetic Wound Care Prep
An obese patient with a non-healing DFU reports good intake. Which finding best identifies a risk for occult malnutrition?
Correct — C. Prealbumin is a sensitive indicator of recent protein status; levels below 15 mg/dL suggest malnutrition despite obesity. -
DWC Diabetic Wound Care Prep
A hospital system implements a multidisciplinary limb salvage team. Which primary metric indicates the clinical effectiveness of this care model?
Correct — E. The primary measure of success for a multidisciplinary team is the reduction of major amputations through coordinated intervention. -
DWC Diabetic Wound Care Prep
A patient with a DFU and type 2 diabetes starts high-dose prednisone. What is the priority management step?
Correct — B. Corticosteroids cause significant insulin resistance; management must include proactively increasing insulin to prevent hyperglycemia and impaired healing. -
DWC Diabetic Wound Care Prep
A patient with no structural foot deformities has a third recurrence of a plantar ulcer despite previous healing. Which referral addresses the likely root cause?
Correct — D. Psychosocial factors cause recurrence; refer to case management and social work. -
DWC Diabetic Wound Care Prep
Triage the following patients: Patient A has stable dry gangrene of the toe (no systemic signs); Patient B has crepitus and fever.
Correct — A. A to vascular clinic; B to emergency for suspected gas gangrene and sepsis. -
DWC Diabetic Wound Care Prep
An 80 kg patient has a large, draining sacral ulcer. Using standard injury factors for chronic wounds (30-35 kcal/kg), what is the estimated daily energy requirement?
Correct — C. Use 30–35 kcal/kg: 80 kg × 30–35 = 2400–2800 kcal/day. -
DWC Diabetic Wound Care Prep
A patient with a non-healing diabetic foot ulcer has an Ankle-Brachial Index (ABI) of 0.45. Which intervention is indicated?
Correct — E. ABI 0.45 indicates severe ischemia; urgent vascular referral required. -
DWC Diabetic Wound Care Prep
An alert, non-critically ill inpatient with a diabetic foot infection has fasting blood glucose levels consistently between 145–160 mg/dL. What is the best management approach?
Correct — B. Target glucose 140–180 mg/dL in noncritically ill inpatients to reduce hypoglycemia risk. -
DWC Diabetic Wound Care Prep
An 80-kg patient with a large, draining diabetic foot ulcer requires nutritional support. What is the estimated daily protein requirement?
Correct — D. Catabolic wounds require 1.25–1.5 g/kg/day. For 80 kg, this equals 100–120 g daily. -
DWC Diabetic Wound Care Prep
A patient presents with a deep, infected, neuroischemic ulcer. Which referral strategy optimizes limb salvage?
Correct — A. Simultaneous care addresses ischemia and infection in parallel, preventing delays inherent in sequential referrals. -
DWC Diabetic Wound Care Prep
A diabetic foot ulcer probes to bone. Superficial swab cultures are positive for Staphylococcus aureus. What is the most appropriate next step?
Correct — C. Positive probe-to-bone suggests osteomyelitis. Superficial swabs are unreliable; imaging and bone biopsy confirm diagnosis. -
DWC Diabetic Wound Care Prep
A patient with a diabetic foot ulcer repeatedly misses appointments, citing a lack of transportation. Which action addresses the primary barrier?
Correct — E. The barrier is structural (transportation). Social work assists with logistical resources to resolve this. -
DWC Diabetic Wound Care Prep
A patient with a diabetic ulcer and Stage 4 chronic kidney disease requires nutritional intervention. How should protein goals be determined?
Correct — B. Balancing CKD protein restrictions with wound healing requirements necessitates multidisciplinary collaboration. -
DWC Diabetic Wound Care Prep
A patient with a diabetic foot ulcer presents with extending cellulitis, fever of 38.9°C (102°F), and tachycardia. What is the correct triage decision?
Correct — D. Fever and tachycardia indicate severe infection requiring immediate inpatient management; outpatient referral is unsafe. -
DWC Diabetic Wound Care Prep
For an 84-year-old patient with a diabetic ulcer, history of falls, and cognitive impairment, what is the primary glycemic management goal?
Correct — A. In frail elderly patients, hypoglycemia risks outweigh tight control benefits; prioritizing safety is essential. -
DWC Diabetic Wound Care Prep
A patient with a non-healing ulcer has monophasic pulses and an ABI of 0.6. What is the specific role of the vascular surgeon in this case?
Correct — C. The vascular surgeon's primary role is assessing for and performing revascularization to restore pulsatile flow. -
DWC Diabetic Wound Care Prep
In the physiological sequence of diabetic wound healing, which phase is most characteristically prolonged and fails to progress?
Correct — E. Chronic hyperglycemia arrests wounds in the inflammatory phase, preventing progression to proliferation and remodeling. -
DWC Diabetic Wound Care Prep
Which complication of autonomic neuropathy most directly predisposes the diabetic foot to bacterial invasion and infection?
Correct — B. Anhidrosis causes dry, cracked skin, creating portals for bacterial entry and increasing infection risk. -
DWC Diabetic Wound Care Prep
A clinician debrides a plantar diabetic foot ulcer but fails to implement an offloading plan. What is the likely clinical outcome?
Correct — D. Without offloading to relieve mechanical stress, the wound stimulus persists, leading to recalcitrant healing. -
DWC Diabetic Wound Care Prep
Which physiological process is the primary hallmark of the remodeling phase of wound healing?
Correct — A. Remodeling replaces immature Type III collagen with Type I collagen to increase wound tensile strength. -
DWC Diabetic Wound Care Prep
A diabetic patient with a non-healing foot ulcer has an Ankle-Brachial Index (ABI) of 1.4. Which test is indicated next?
Correct — C. An ABI > 1.4 indicates calcified arteries; TBI is reliable as toe vessels rarely calcify. -
DWC Diabetic Wound Care Prep
A patient demonstrates loss of vibratory sensation and proprioception. Which clinical risk is primarily associated with this large-fiber deficit?
Correct — E. Large-fiber neuropathy causes loss of protective sensation, leading to unperceived repetitive trauma and subsequent ulceration during ambulation. -
DWC Diabetic Wound Care Prep
A diabetic patient presents with a red, hot, swollen foot but no open wound or systemic fever. What is the priority intervention?
Correct — B. These signs suggest acute Charcot neuroarthropathy. Immediate total non-weight bearing prevents bone collapse and permanent foot deformity. -
DWC Diabetic Wound Care Prep
Which growth factor is critically deficient in diabetic wounds, directly leading to impaired angiogenesis and capillary sprouting?
Correct — D. VEGF drives angiogenesis. In diabetic wounds, blunted VEGF expression leads to poor capillary growth and insufficient granulation tissue. -
DWC Diabetic Wound Care Prep
How does the accumulation of advanced glycation end-products (AGEs) structurally alter the skin in patients with diabetes?
Correct — A. AGEs cross-link collagen, making it resistant to enzymatic degradation. This reduces collagen turnover, causing stiff, non-compliant skin. -
DWC Diabetic Wound Care Prep
A patient perceives a sharp pinprick but cannot feel the 10g Semmes-Weinstein monofilament. What is the correct interpretation?
Correct — C. Inability to feel the 10g monofilament indicates loss of protective sensation, reflecting large-fiber dysfunction. -
DWC Diabetic Wound Care Prep
What cellular dysfunction primarily drives the transition of a diabetic foot ulcer into a chronic, non-healing state?
Correct — E. Persistent pro-inflammatory M1 macrophages prevent transition to the proliferative repair phase. -
DWC Diabetic Wound Care Prep
A diabetic patient has palpable pulses, normal ABI, but a non-healing ulcer and atrophy. Which pathology is indicated?
Correct — B. Atrophic skin and poor healing with normal macrovascular exams suggest capillary-level microangiopathy.
DWC Diabetic Wound Care Prep sample questions
Tap any question below to reveal the answer and a plain-English explanation.
DWC Diabetic Wound Care Prep A diabetic patient with a non-healing foot ulcer has an Ankle-Brachial Index (ABI) of 1.4. Which test is indicated next?
A. Computed Tomography Angiogram
B. Magnetic Resonance Imaging
C. Toe-Brachial Index (TBI) ✓
D. Repeat Ankle-Brachial Index
E. Venous Duplex Ultrasound
Correct — C. An ABI > 1.4 indicates calcified arteries; TBI is reliable as toe vessels rarely calcify.
DWC Diabetic Wound Care Prep A patient demonstrates loss of vibratory sensation and proprioception. Which clinical risk is primarily associated with this large-fiber deficit?
A. Severe burning paresthesia
B. Temperature hypersensitivity
C. Autonomic sudomotor dysfunction
D. Small fiber nerve degeneration
E. Unperceived repetitive trauma ✓
Correct — E. Large-fiber neuropathy causes loss of protective sensation, leading to unperceived repetitive trauma and subsequent ulceration during ambulation.
DWC Diabetic Wound Care Prep A diabetic patient presents with a red, hot, swollen foot but no open wound or systemic fever. What is the priority intervention?
A. Topical antifungal medication
B. Strict total non-weight bearing ✓
C. Intravenous antibiotic therapy
D. Surgical debridement of bone
E. Therapeutic compression wrapping
Correct — B. These signs suggest acute Charcot neuroarthropathy. Immediate total non-weight bearing prevents bone collapse and permanent foot deformity.
DWC Diabetic Wound Care Prep Which growth factor is critically deficient in diabetic wounds, directly leading to impaired angiogenesis and capillary sprouting?
A. TNF-alpha
B. Interleukin-1
C. Fibrinogen
D. VEGF ✓
E. MMP-9
Correct — D. VEGF drives angiogenesis. In diabetic wounds, blunted VEGF expression leads to poor capillary growth and insufficient granulation tissue.
DWC Diabetic Wound Care Prep How does the accumulation of advanced glycation end-products (AGEs) structurally alter the skin in patients with diabetes?
A. Decreases collagen turnover ✓
B. Increases tissue flexibility
C. Enhances capillary perfusion
D. Accelerates re-epithelialization
E. Stimulates elastin production
Correct — A. AGEs cross-link collagen, making it resistant to enzymatic degradation. This reduces collagen turnover, causing stiff, non-compliant skin.
DWC Diabetic Wound Care Prep A patient perceives a sharp pinprick but cannot feel the 10g Semmes-Weinstein monofilament. What is the correct interpretation?
A. Normal somatosensory function
B. Hyperesthesia to pressure
C. Loss of protective sensation ✓
D. Intact protective sensation
E. Small fiber neuropathy only
Correct — C. Inability to feel the 10g monofilament indicates loss of protective sensation, reflecting large-fiber dysfunction.
DWC Diabetic Wound Care Prep What cellular dysfunction primarily drives the transition of a diabetic foot ulcer into a chronic, non-healing state?
A. Senescence of dermal fibroblasts and keratinocytes
B. Excess tissue inhibitors of metalloproteinases
C. Premature endothelial progenitor differentiation
D. Systemic depletion of circulating neutrophils
E. Persistent pro-inflammatory macrophage phenotype ✓
Correct — E. Persistent pro-inflammatory M1 macrophages prevent transition to the proliferative repair phase.
DWC Diabetic Wound Care Prep A diabetic patient has palpable pulses, normal ABI, but a non-healing ulcer and atrophy. Which pathology is indicated?
A. Systemic inflammatory response syndrome
B. Microvascular disease (microangiopathy) ✓
C. Significant proximal arterial occlusion
D. Deep venous thrombosis with reflux
E. Acute bacterial soft tissue infection
Correct — B. Atrophic skin and poor healing with normal macrovascular exams suggest capillary-level microangiopathy.
About the DWC Diabetic Wound Care Prep test
Built around Nursing/Medical, this DWC Diabetic Wound Care Prep question bank mirrors the real exam format instead of guessing at trick questions. Work through the free sample, read every explanation, then move on to full timed mock exams once you're ready.
You will be tested on
- Safe and effective care environment
- Health promotion and maintenance
- Psychosocial and physiological integrity
- Pharmacology, infection control and patient safety
How TheoryPractice helps you pass
- Real exam-style questions with instant, detailed explanations
- Full timed mock exams that mirror the real test format
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- Progress tracking so you know exactly when you're ready
Topics in this question bank
Safe and effective care environment
Health promotion and maintenance
Psychosocial and physiological integrity
Pharmacology, infection control and patient safety
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