Certified Wound Ostomy Nurse (CWON) Practice Test

When are skin grafts typically indicated?

1. For minor cuts and abrasions

2. When complete epithelialization is unlikely in large wounds

3. If a wound is infected

4. For wounds with minimal granulation

The correct answer is: When complete epithelialization is unlikely in large wounds

Skin grafts are typically indicated when complete epithelialization is unlikely in large wounds. This situation arises when a wound is extensive, has significant tissue loss, or is located in an area where healing is compromised due to factors such as vascular supply, tension on the wound, or poor surrounding skin conditions. In cases where healing is severely impaired, the natural healing process may not be sufficient to restore the skin over a prolonged period. Skin grafts provide a viable tissue source that promotes more rapid closure of the wound, minimizes complications such as infection, and aids in restoring function and appearance to the affected area. Administering grafts in these scenarios supports the requirement for adequate wound bed preparation and healing environment, ultimately improving patient outcomes in complex or large wounds.