So, I haven't permanently given up on finding the source of the problem, but perhaps a way to correct it "as it happens" seemed to be a reasonable alternative until I can figure this out for sure. Using my steps to correct the issue when it happens, I jotted down this script. Any thoughts on something like what's below that runs when the error message occurs? It's not elegant and certainly isn't perfect, but maybe it would help (Note: not a PHP expert here)?
//Get the first value from the csv list of answers to use for query
$answerids = implode(',', $state->responses); //Convert to string
$answeridsarray = explode(',', $answerids); //Convert to array
$answerid = $answeridsarray[0]; //Just get one for the query
//Let's get the record we need so we can update it
$
sql = "SELECT * FROM ".$CFG->prefix."question_answers WHERE id=".$answerid;
$quizanswer = get_record_sql($sql);
$questionid = $quizanswer->question;
$stringtoinsert = 'random'.$questionid.'-'.$answerids;
$state->responses = $stringtoinsert;
$recordtoupdate = clone($state);
$recordtoupdate->answer = $stringtoinsert;
if(!update_record('question_states',$recordtoupdate)) {
notify("Error correcting wrapped state issue...");
} else {
notify("Record corrected. Refresh the page to continue.");
}