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

How does a vasculitic ulcer typically present?

1. With defined borders and significant exudate

2. LE around malleoli or anterior leg, pale-necrotic base

3. Smooth surface with no signs of inflammation

4. Dark colored and localized pain relieved by dependency

The correct answer is: LE around malleoli or anterior leg, pale-necrotic base

A vasculitic ulcer is typically characterized by specific clinical features related to the underlying vascular pathology. The correct answer describes the common presentation of these ulcers accurately. They are often found on the lower extremities, particularly around the malleoli or the anterior leg, where there is impaired blood flow due to vasculitis. The base of these ulcers is generally pale or necrotic, indicating an insufficient blood supply and tissue ischemia, which contributes to the ulcer's formation. In contrast to other types of ulcers, vasculitic ulcers tend to exhibit these unique characteristics that reflect their etiology related to blood vessel inflammation. They are usually not associated with well-defined borders or significant exudate, which distinguishes them from other ulcer types, such as venous or pressure ulcers. The presence of a necrotic base points to tissue damage due to lack of oxygen and blood supply, rather than just superficial skin changes. This understanding of vasculitic ulcers is crucial for nursing professionals as it aids in identification and management, ensuring appropriate interventions are provided for healing and treatment of the underlying condition.