Practice questions · DWC Diabetic Wound Care Prep

DWC Diabetic Wound Care Prep Practice Questions

Free DWC Diabetic Wound Care Prep practice questions with answers and plain-English explanations. Browse the PDF, video and online mock test.

Free sample · DWC Diabetic Wound Care PrepQ1
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.
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DWC Diabetic Wound Care Prep Questions

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  1. Q1A 78-year-old with mild dementia, diabetic foot ulcer, and poor glycemic control lives alone. What is the appropriate management?

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    ✓ Correct 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.

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  2. Q2A referral involves a stable, shallow diabetic foot ulcer with good perfusion. What is the appropriate triage decision?

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    ✓ Correct 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.

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  3. Q3An obese patient with a non-healing DFU reports good intake. Which finding best identifies a risk for occult malnutrition?

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    ✓ Correct 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.

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  4. Q4A hospital system implements a multidisciplinary limb salvage team. Which primary metric indicates the clinical effectiveness of this care model?

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    ✓ Correct answer: Decreased rate of major amputations

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

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  5. Q5A patient with a DFU and type 2 diabetes starts high-dose prednisone. What is the priority management step?

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    ✓ Correct answer: Proactively increase insulin therapy dosage

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

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  6. Q6A patient with no structural foot deformities has a third recurrence of a plantar ulcer despite previous healing. Which referral addresses the likely root cause?

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    ✓ Correct answer: Case management and social work

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

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  7. Q7Triage the following patients: Patient A has stable dry gangrene of the toe (no systemic signs); Patient B has crepitus and fever.

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    ✓ Correct answer: A to vascular clinic; B to emergency

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

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  8. Q8An 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?

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    ✓ Correct answer: Approximately 2400 to 2800 kcal per day

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

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  9. Q9A patient with a non-healing diabetic foot ulcer has an Ankle-Brachial Index (ABI) of 0.45. Which intervention is indicated?

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    ✓ Correct answer: Urgent vascular referral, same day

    ABI 0.45 indicates severe ischemia; urgent vascular referral required.

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  10. Q10An 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?

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    ✓ Correct answer: Maintain current glucose targets

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

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