WEB WOC WOUND CARE CERTIFICATION
EVALUATION EXAMS 2025 COMPREHENSIVE
QUESTIONS AND VERIFIED COMPLETE
SOLUTION GUIDE
◉ Framework used to provide an optimal physiologic wound
environment that is conducive to healing. Answer: TIMERS
◉ Goal of tissue management. Answer: to remove non-viable, necrotic
tissue as well as non-functional tissue such as hypergranulation
◉ goal of inflammation or infection control. Answer: eliminate infection
and control bioburden
◉ goal of moisture balance. Answer: not too wet and not too dry
provide moist wound therapy, absorb excess drainage, control odor, fill
dead space, control swelling, protect periwound
◉ goal of epithelial/edge advancement. Answer: keep wound edged
open, address epibole and undermining, remove callous, protect
periwound skin
,◉ goal of regeneration/repair of tissue. Answer: cellular products, tissue
based products, advanced therapies such as hyperbaric treatment of
NPWT
◉ goal of social/patient related factors. Answer: develop a patient-
centers POC, patient engagement, holistic assessment
◉ why use debridement?. Answer: to remove necrotic tissue or debris,
remove and reduce biofilm, remove infected tissues, in palliative care to
control odor, to facilitate wound visualization, in chronic wounds to
convert to acute wound to promote healing
◉ autolytic debridement. Answer: a type of non-instrumental
debridement that uses the body's own WBCs, enzymes, and moisture to
re-hydrate, soften, and liquify hard eschar and slough
◉ benefits of autolytic debridement. Answer: painless, easily done with
moisture retentive dressings, aides in combination debridement methods
◉ disadvantages of autolytic debridement. Answer: takes times, may be
aesthetically displeasing to the patient if using a transparent dressing
◉ contraindications to autolytic debridement. Answer: neutropenic
patients, those with diabetes mellitus (higher risk for infection)
,◉ surfactant debridement. Answer: a type of non-instrumental
debridement that uses concentrated nonionic surfactant dressings (CSDs)
which can soften and loosen wound debris, breakdown biofilms, and
prevent redevelopment of biofilms
◉ indications for surfactant debridement. Answer: stagnant wounds,
local wound infections, burns
◉ benefits of surfactant debridement. Answer: cleanses wound without
the use of cytogenic agents, reduces inflammation, reduces biofilm,
allows for daily visualization of wound
◉ disadvantages of surfactant debridement. Answer: can be expensive,
dressing must be changed daily
◉ contraindications for surfactant debridement. Answer: sensitivity to
chemical properties
◉ enzymatic debridement. Answer: a type of non-instrumental
debridement that uses collagenase to dissolve collagen anchors between
necrotic tissue and the wound bed
◉ benefits of enzymatic debridement. Answer: faster than autolysis,
good option for those at high risk for bleeding, safe in infected wounds
, ◉ disadvantages of enzymatic debridement. Answer: costly, daily
application, can sting, takes longer than sharp or mechanical
debridement
◉ contraindications of enzymatic debridement. Answer: not compatible
with metal products, some antiseptic cleansers reduce its
activity/effectiveness
◉ chemical debridement by sodium hypochlorite. Answer: a type of
non-instrumental debridement using sodium hypochlorite (diluted
bleach) to dissolve collagen anchors between necrotic tissue and the
wound bed
◉ indications for chemical debridement by sodium hypochlorite.
Answer: grossly necrotic or infected wounds
◉ benefits of chemical debridement by sodium hypochlorite. Answer:
reduces wound odor, cheap, non-cytotoxic
◉ disadvantages of chemical debridement by sodium hypochlorite.
Answer: use is controversial, is cytotoxic to fibroblasts
◉ contraindications of chemical debridement by sodium hypochlorite.
Answer: do not use in clean wounds
EVALUATION EXAMS 2025 COMPREHENSIVE
QUESTIONS AND VERIFIED COMPLETE
SOLUTION GUIDE
◉ Framework used to provide an optimal physiologic wound
environment that is conducive to healing. Answer: TIMERS
◉ Goal of tissue management. Answer: to remove non-viable, necrotic
tissue as well as non-functional tissue such as hypergranulation
◉ goal of inflammation or infection control. Answer: eliminate infection
and control bioburden
◉ goal of moisture balance. Answer: not too wet and not too dry
provide moist wound therapy, absorb excess drainage, control odor, fill
dead space, control swelling, protect periwound
◉ goal of epithelial/edge advancement. Answer: keep wound edged
open, address epibole and undermining, remove callous, protect
periwound skin
,◉ goal of regeneration/repair of tissue. Answer: cellular products, tissue
based products, advanced therapies such as hyperbaric treatment of
NPWT
◉ goal of social/patient related factors. Answer: develop a patient-
centers POC, patient engagement, holistic assessment
◉ why use debridement?. Answer: to remove necrotic tissue or debris,
remove and reduce biofilm, remove infected tissues, in palliative care to
control odor, to facilitate wound visualization, in chronic wounds to
convert to acute wound to promote healing
◉ autolytic debridement. Answer: a type of non-instrumental
debridement that uses the body's own WBCs, enzymes, and moisture to
re-hydrate, soften, and liquify hard eschar and slough
◉ benefits of autolytic debridement. Answer: painless, easily done with
moisture retentive dressings, aides in combination debridement methods
◉ disadvantages of autolytic debridement. Answer: takes times, may be
aesthetically displeasing to the patient if using a transparent dressing
◉ contraindications to autolytic debridement. Answer: neutropenic
patients, those with diabetes mellitus (higher risk for infection)
,◉ surfactant debridement. Answer: a type of non-instrumental
debridement that uses concentrated nonionic surfactant dressings (CSDs)
which can soften and loosen wound debris, breakdown biofilms, and
prevent redevelopment of biofilms
◉ indications for surfactant debridement. Answer: stagnant wounds,
local wound infections, burns
◉ benefits of surfactant debridement. Answer: cleanses wound without
the use of cytogenic agents, reduces inflammation, reduces biofilm,
allows for daily visualization of wound
◉ disadvantages of surfactant debridement. Answer: can be expensive,
dressing must be changed daily
◉ contraindications for surfactant debridement. Answer: sensitivity to
chemical properties
◉ enzymatic debridement. Answer: a type of non-instrumental
debridement that uses collagenase to dissolve collagen anchors between
necrotic tissue and the wound bed
◉ benefits of enzymatic debridement. Answer: faster than autolysis,
good option for those at high risk for bleeding, safe in infected wounds
, ◉ disadvantages of enzymatic debridement. Answer: costly, daily
application, can sting, takes longer than sharp or mechanical
debridement
◉ contraindications of enzymatic debridement. Answer: not compatible
with metal products, some antiseptic cleansers reduce its
activity/effectiveness
◉ chemical debridement by sodium hypochlorite. Answer: a type of
non-instrumental debridement using sodium hypochlorite (diluted
bleach) to dissolve collagen anchors between necrotic tissue and the
wound bed
◉ indications for chemical debridement by sodium hypochlorite.
Answer: grossly necrotic or infected wounds
◉ benefits of chemical debridement by sodium hypochlorite. Answer:
reduces wound odor, cheap, non-cytotoxic
◉ disadvantages of chemical debridement by sodium hypochlorite.
Answer: use is controversial, is cytotoxic to fibroblasts
◉ contraindications of chemical debridement by sodium hypochlorite.
Answer: do not use in clean wounds
