ACTUAL QUESTIONS AND VERIFIED ANSWERS ALREADY GRADED
A+
Treatment measures include which of the following for a Type 3 skin tear?
a. Steri-strips to approximate edges
b. Absorbent dressing with low adhesive and high MVTR i.e. silicone foam
c. Dry gauze and roller gauze to secure
d. non-adherent contact layer with gauze - ANS... -b. Absorbent dressing with low
adhesive and high MVTR i.e. silicone foam
Which of the following statements is FALSE regarding MARSI (Medical
Adhesive-related Skin Injuries)?
a. Common, usually painful, and almost preventable.
b. Types include contact dermatitis, maceration, skin stripping, tension blisters and
folliculitis.
c. Securement of critical devices i.e. endotracheal tubes should be done with high
adhesion products.
d. Adhesive products should be removed quickly at a 90-degree angle to generate a
high peel force - ANS... -d. Adhesive products should be removed quickly at a 90-
degree angle to generate a high peel force
Which of the following statements is FALSE in effective skin preparation prior to
application of an adhesive product:
a. Excessive hair should be shaved from the area
b. Skin should be clean and dry
c. Liquid barrier film or skin sealant may be used prior to adhesive application
d. Avoid the use of adhesion promoters such as tincture of benzoin - ANS... -a.
Excessive hair should be shaved from the area
Which of the following statements is an ideal adhesive alternative for dressing
securement on a lower extremity?
a. Tubular elastic dressing
b. Open-weave gauze wrap
,c. ACE wraps
d. Fabric tape - ANS... -a. Tubular elastic dressing
Which of the following statements accurately reflects the history of the WOC
Nursing Specialty?
a. The origin of the specialty began with a nurse who recognized the unmet needs
of patients with ostomies.
b. The first education programs were 8 weeks long and required the learner be in
residence during that period.
c. Patient consumers began the specialty.
d. The first education programs had no precepted clinical practicum. - ANS... -c.
Patient consumers began the specialty.
An ESSENTIAL component of a WOC Nursing Practice is:
a. Establishing an outcomes program to measure results of care.
b. Implements, coordinates, and evaluates specialty care.
c. Establishing a clinic for outpatient follow-up.
d. Billing for services provided. - ANS... -b. Implements, coordinates, and
evaluates specialty care.
A certificate of completion is issued upon successful completion of a Program.
Certification in WOC Nursing is accomplished once the learner has passed exams
given by the:
a. NAWCO® (National Alliance of Wound Care and Ostomy)
b. WOCN® (Wound Ostomy Continence Nurses Society)
c. ANA® (American Nurses Association)
d. WOCNCB® (Wound Ostomy Continence Nursing Certification Board) - ANS...
-d. WOCNCB® (Wound Ostomy Continence Nursing Certification Board)
When a learner graduates from a WOCN® accredited nursing education program
(i.e. WEB WOC), and successfully passes all scopes of practice certification exams
from the WOCNCB, the correct abbreviation for the specialist is?
a. WOCN
b. CWOCN
c. WOC nurse
d. SWA - ANS... -b. CWOCN
,Trends in WOC Nursing Care include which of the following:
a. Developing additional systems for billing services and generating revenue
b. Identifying cost savings in products and equipment use
c. Recognizing market opportunities and promoting those services
d. Safety in patient care, access, and outcomes research - ANS... -a. Developing
additional systems for billing services and generating revenue
The highest level of evidence comes from which of the following sources?
a. Expert opinion.
b. Case studies.
c. Prospective studies.
d. Randomized clinical trials. - ANS... -d. Randomized clinical trials.
Which of the following statements about Clinical Practice Guidelines is TRUE?
a. These are basically recommendations for care of a specific condition based on
expert opinion.
b. The literature from which the Clinical guidelines are derived should be reviewed
prior to incorporating the guidelines into patient care.
c. To avoid the appearance of self-interest, the national government authors all
clinical practice guidelines.
d. Clinical guidelines are derived from the current literature and summarize state of
the art care for specific healthcare issues. - ANS... -d. Clinical guidelines are
derived from the current literature and summarize state of the art care for specific
healthcare issues.
What are the major layers of the skin?
a. Hypodermis & muscle
b. Epidermis & dermis
c. Keratinocytes & fibroblasts
d. Macrophages & platelets - ANS... -b. Epidermis & dermis
What is the primary function of intact skin?
a. Protective barrier
b. Enhance body image
, c. Communication
d. Vitamin D synthesis - ANS... -a. Protective barrier
What is the benefit in the skin maintaining an acid mantle (pH 4.5-6.5)?
a. Promotes skin hydration
b. Increases TEWL (trans-epidermal water loss)
c. Retards growth of skin pathogens
d. Promotes skin elasticity - ANS... -c. Retards growth of skin pathogens
How does age alter the skin's epidermal turnover or process of differentiation?
a. Prolongs the rate of cell turnover (>28 days)
b. Reduces the rate of cell turnover (<28 days)
c. Doesn't affect the rate of cell turnover
d. Accelerates turnover to 5 days or less - ANS... -a. Prolongs the rate of cell
turnover (>28 days)
Which cells located in the dermis produce collagen (dermal building blocks) and
elastin (tensile strength)?
a. Leukotrienes
b. Mast cells
c. Macrophages
d. Fibroblasts - ANS... -d. Fibroblasts
Structures of the dermis include:
a. Collagen, melanocytes, keratinocytes, & sweat (sebaceous) glands
b. Fat, vasculature, hair follicles, & melanocytes
c. Connective tissue, fat, keratinocytes, & elastin proteins
d. Collagen, elastin proteins, hair follicles, sweat (sebaceous) glands - ANS... -d.
Collagen, elastin proteins, hair follicles, sweat (sebaceous) glands
The functions of the hypodermis (subcutaneous tissue) include:
a. Cushions, insulates and protects against invading infection
b. Insulates, contributes to the sense of touch, and provides color
c. Cushions, insulates and adds to the mobility of the skin over underlying
structures