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

What is a common characteristic of an arterial ulcer base?

1. Colorful with a moist texture

2. Yellow and weeping

3. Pale and dry

4. Red and swollen

The correct answer is: Pale and dry

An arterial ulcer typically presents with a base that is pale and dry. This characteristic arises from the underlying ischemia or reduced blood flow associated with arterial insufficiency. In these ulcers, the skin may appear thin and often lacks the typical granulation tissue seen in other types of wounds, such as venous ulcers. This paleness is due to the reduced oxygen and nutrient supply to the tissue, which is a crucial factor in wound healing. In contrast, other types of ulcers often show different characteristics; for instance, a moist and colorful base or signs of exudate can indicate more vascularity or different underlying issues such as venous return problems. Understanding these distinctions is essential for accurate assessment and treatment planning in wound care management.