NPTE Wound Care Practice Questions

10 Free NPTE Wound Care Practice Questions (2026)

10 NPTE-style wound care practice questions covering pressure injury staging, burn classification, debridement selection, diabetic foot offloading, compression therapy, infection recognition, negative pressure wound therapy, and positioning. Multiple-choice format with full rationales. Written and reviewed by a licensed Doctor of Physical Therapy.

Why wound care is reliable NPTE material

Wound management sits inside the integumentary content of the FSBPT blueprint, and it tests unusually well because so much of it has exact answers: staging definitions, debridement indications, compression prerequisites, and dressing-to-drainage matching are rule-based knowledge. Yet most students see limited wound care on rotation — often a single acute or SNF placement — so the material fades fast. These are recoverable points for anyone willing to relearn the rules.

0 of 10 answered
Pressure Injury Staging
Question 1 of 10
A physical therapist examines a sacral wound on a 74-year-old bedbound patient. The wound shows full-thickness skin loss with visible subcutaneous fat. Granulation tissue is present, along with rolled wound edges. No bone, tendon, muscle, or fascia is visible or directly palpable. Which of the following BEST classifies this wound?
Burn Classification
Question 2 of 10
A 29-year-old female presents with a scald burn to the forearm sustained 24 hours ago. The wound area is bright red and moist with several intact blisters, blanches briskly with pressure, and is intensely painful to light touch. Which of the following BEST classifies this burn?
Debridement Selection
Question 3 of 10
A 66-year-old male has a lower extremity wound with a large amount of adherent necrotic tissue and clinical signs of local infection. The medical team wants the necrotic burden removed as rapidly as possible. Which of the following debridement methods is MOST appropriate?
Eschar Management
Question 4 of 10
A physical therapist evaluates an 83-year-old female with limited mobility and notes a heel wound covered by dry, hard, intact black eschar. There is no drainage, no surrounding erythema, no fluctuance, and no odor. Which of the following is the MOST appropriate management?
Diabetic Foot — Offloading
Question 5 of 10
A 59-year-old male with type 2 diabetes and peripheral neuropathy has a non-infected, non-ischemic plantar ulcer beneath the second metatarsal head that has persisted for 8 weeks with standard dressings. Which of the following interventions is considered the GOLD STANDARD for healing this type of wound?
Venous Insufficiency — Compression
Question 6 of 10
A 71-year-old female presents with a venous insufficiency ulcer above the medial malleolus. The therapist plans to initiate compression bandaging, the cornerstone of venous ulcer management. Which of the following is MOST important to assess BEFORE applying compression?
Infection Recognition
Question 7 of 10
A physical therapist has been treating a 62-year-old male’s lower extremity wound for three weeks with steady progress. Today the patient reports increased pain at the wound site for the first time. The therapist notes expanding periwound erythema and warmth, new purulent drainage, and an odor that persists after thorough cleansing. Which of the following is the MOST appropriate action?
Negative Pressure Wound Therapy
Question 8 of 10
Negative pressure wound therapy (NPWT) is being considered for four different patients. For which of the following wounds is NPWT MOST appropriate?
Wound Bed Assessment
Question 9 of 10
During wound assessment, a physical therapist documents that approximately 60% of the wound bed is covered by moist, yellow, stringy tissue that is loosely adherent to the base. Which of the following BEST describes this tissue and the general treatment goal for it?
Pressure Injury Prevention
Question 10 of 10
A physical therapist is educating nursing staff on positioning for a 79-year-old immobile patient at high risk for pressure injury. Which of the following positioning recommendations is MOST appropriate?
0/10
Wound care is rule-based knowledge — the most recoverable points in integumentary
Get Your Personalized NPTE Study Plan → Try All 10 General NPTE Questions

About This Topic

How Wound Care Is Tested on the NPTE

Wound management is the core of the integumentary content in the FSBPT content outline, spanning examination (staging, wound bed description, burn classification), intervention (debridement, dressings, compression, NPWT, offloading), and prevention (positioning, pressure redistribution). Try our free 20-question timed NPTE practice test, Other Systems practice questions, or Lab Values practice questions to see how integumentary content appears across the exam.

The wound care rules the exam tests
Pressure injury stages — the fat-vs-deep-structure line between 3 and 4
Burn depth — deeper burns blanch less and hurt less
Debridement — speed and selectivity by method; infection changes the choice
Stable heel eschar — the exception: leave it, dry it, offload it
Offloading — total contact casting for the neuropathic plantar ulcer
Compression — ABI first, always
Infection vs colonization — new pain, expanding erythema, persistent odor
NPWT — the contraindication list: necrosis, malignancy, exposed vessels
Wound bed colors — red protect, yellow remove, black assess stability
Positioning — 30-degree sidelying, scheduled turns, floated heels, no donuts

Notice how many of these rules have a tested EXCEPTION or prerequisite attached: debride necrotic tissue — except stable heel eschar; compress venous ulcers — after the ABI; moist wound healing — except over dry eschar you intend to keep; occlusive dressings — not over infection. The exam builds questions at exactly these hinge points, because they separate students who memorized the rule from students who understand when it applies. See our full NPTE exam format breakdown for how these items fit into the 225-question structure.

The pattern to recognize

Wound vignettes signal their answer through status words: “stable,” “intact,” “clean,” “granulating” push toward protect-and-continue; “new,” “expanding,” “increasing,” “persists after cleansing” push toward escalate; “necrotic,” “adherent,” “obscured” push toward debride — unless the location and perfusion say otherwise. Before choosing, ask two questions: is this wound stable or changing, and is the tissue in it viable or not. Most wound care answers fall out of those two reads.

Cross-Content Reasoning

Where Wound Care Connects Across the Exam

Wound care is where several exam threads converge. The vascular differentiations — arterial versus venous versus neuropathic — drilled in our Other Systems practice questions are the diagnostic front end of everything on this page: the ulcer type determines whether the answer is compression, offloading, or vascular referral. The systemic side runs through lab values — albumin for the wound that will not close, glucose control for the diabetic foot, ANC for the patient whose wound care must happen under protective precautions.

The pharmacology thread supplies the healing modifiers: long-term corticosteroids impair tissue repair and fragilize skin, anticoagulants change debridement risk, and chemotherapy drives the counts that gate treatment. The non-systems section contributes infection control and modality rules — whirlpool precautions, electrical stimulation for wound healing, sterile versus clean technique — and the positioning and equipment knowledge that prevention questions draw on.

Burn rehabilitation extends the thread furthest: beyond the classification tested here, it pulls in contracture prevention and splinting, scar management, and the cardiopulmonary demands of major burn recovery — a reminder that integumentary questions frequently score knowledge from three systems at once.

Study tip

Organize wound care as rules-with-exceptions rather than as a topic list: write each rule on one line and its exception or prerequisite directly beneath it (debride necrotic tissue / EXCEPT stable heel eschar; compress venous ulcers / AFTER the ABI; maintain moisture / EXCEPT eschar you are keeping dry). The exam lives at the exception line. Pair that sheet with the wound-bed color vocabulary and the pressure injury stage definitions, and our complete NPTE study guide covers how to fold it all into a full study plan.

Want to Know Which Wound Care Rules You’d Miss?

10 questions give you a snapshot. Practitionr’s AI tracks your integumentary accuracy alongside every other content area — then rebuilds your study plan around exactly where you need more work. No credit card required.

Free NPTE Study Resources