DWC Diabetic Wound Care Prep Exam Questions & Answers 2026 (1–10)

Question 1

A 78-year-old with mild dementia, diabetic foot ulcer, and poor glycemic control lives alone. What is the appropriate management?

TheoryPractice · Accepted Answer

Simplify regimen and order home health services. Simplifying treatment and ordering home health supervision ensures adherence in patients with cognitive impairment and limited support.

Question 2

A referral involves a stable, shallow diabetic foot ulcer with good perfusion. What is the appropriate triage decision?

TheoryPractice · Accepted Answer

Redirect to local outpatient wound care clinic. Low-risk, stable chronic wounds should be managed in community outpatient settings to prevent resource mismanagement at tertiary centers.

Question 3

An obese patient with a non-healing DFU reports good intake. Which finding best identifies a risk for occult malnutrition?

TheoryPractice · Accepted Answer

Serum prealbumin level of 12 mg/dL. Prealbumin is a sensitive indicator of recent protein status; levels below 15 mg/dL suggest malnutrition despite obesity.

Question 4

A hospital system implements a multidisciplinary limb salvage team. Which primary metric indicates the clinical effectiveness of this care model?

TheoryPractice · Accepted Answer

Decreased rate of major amputations. The primary measure of success for a multidisciplinary team is the reduction of major amputations through coordinated intervention.

Question 5

A patient with a DFU and type 2 diabetes starts high-dose prednisone. What is the priority management step?

TheoryPractice · Accepted Answer

Proactively increase insulin therapy dosage. Corticosteroids cause significant insulin resistance; management must include proactively increasing insulin to prevent hyperglycemia and impaired healing.

Question 6

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?

TheoryPractice · Accepted Answer

Case management and social work. Psychosocial factors cause recurrence; refer to case management and social work.

Question 7

Triage the following patients: Patient A has stable dry gangrene of the toe (no systemic signs); Patient B has crepitus and fever.

TheoryPractice · Accepted Answer

A to vascular clinic; B to emergency. A to vascular clinic; B to emergency for suspected gas gangrene and sepsis.

Question 8

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?

TheoryPractice · Accepted Answer

Approximately 2400 to 2800 kcal per day. Use 30–35 kcal/kg: 80 kg × 30–35 = 2400–2800 kcal/day.

Question 9

A patient with a non-healing diabetic foot ulcer has an Ankle-Brachial Index (ABI) of 0.45. Which intervention is indicated?

TheoryPractice · Accepted Answer

Urgent vascular referral, same day. ABI 0.45 indicates severe ischemia; urgent vascular referral required.

Question 10

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?

TheoryPractice · Accepted Answer

Maintain current glucose targets. Target glucose 140–180 mg/dL in noncritically ill inpatients to reduce hypoglycemia risk.

DWC Diabetic Wound Care Prep Exam Questions & Answers 2026 (1–10)

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