Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which feature is typical of a vasculitic ulcer compared to others?

1. High exudate production

2. Good edges and normal pulses in the feet

3. Warmth and erythema in surrounding skin

4. Signs of infection around the ulcer

The correct answer is: Good edges and normal pulses in the feet

A vasculitic ulcer typically presents with features that distinguish it from other types of ulcers. One defining characteristic of a vasculitic ulcer is the involvement of blood vessels, which often results in ischemia and affects the integrity of the skin. This is why the presence of good edges and normal pulses in the feet is atypical. Healthy blood supply and well-defined wound edges are more indicative of a different etiology or a pressure ulcer. In contrast, high exudate production is common in various ulcer types, particularly those that are inflammatory or in the presence of infection. Warmth and erythema in the surrounding skin can indicate active inflammation but can also suggest infection, rather than specific features of a vasculitic ulcer. Signs of infection around the ulcer can occur in many types of ulcers and are not unique to vasculitis. Understanding these characteristics helps in effectively diagnosing the underlying cause of an ulcer and directing appropriate treatment plans.