WEBWOC WND580 COMPLETE EXAM QUESTIONS
ANSWERS 2026/2027 – FULLY VERIFIED HIGH YIELD
EDITION.
◎ 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
◎ chemical debridement by silver nitrate. ANSWER:- a type of non-instrumental
debridement using silver nitrate to reduce fibroblast proliferation and overgrowth
*silver nitrate is a non-selective, caustic, chemical which burns and contacted tissues
◎ benefits of chemical debridement by silver nitrate. ANSWER:- removes excess
granulation tissue, removes necrotic tissue, can open up epibole, reduces bioburden
◎ disadvantages of chemical debridement by silver nitrate. ANSWER:- use is
controversial, painful, can stain skin, absorption of toxic silver is possible
◎ contraindications of chemical debridement by silver nitrate. ANSWER:- avoid use in
pediatric patients as it can cause silver toxicity and is painful
◎ biosurgical debridement. ANSWER:- a type of non-instrumental debridement using
medical grade maggots to liquify necrotic tissue through proteolytic enzymes
◎ disadvantages of biosurgical debridement. ANSWER:- distasteful to most
patients/caregivers, bleeding, pain, crawling sensation
◎ contraindications or biosurgical debridement. ANSWER:- poorly perfused wounds,
exposed blood vessels, necrotic bones, limb-threatening infections
◎ mechanical debridement by wet-to-dry dressing. ANSWER:- a type of non-
instrumental debridement done by using damp gauze in the wound bed that is allowed
to dry out to trap tissue which is then pulled off during dressing changes
◎ benefits of mechanical debridement by wet-to-dry dressing. ANSWER:- cheap,
dressing change is easy to perform, use in heavily necrotic or infected wounds without
granulation tissue
◎ disadvantages of mechanical debridement by wet-to-dry dressing. ANSWER:-
painful, non-selective (will pull off healing tissue with necrotic tissue), time consuming
(multiple dressing changes daily for weeks)
◎ contraindications of mechanical debridement by wet-to-dry dressing. ANSWER:-
clean granulation wounds
◎ mechanical debridement by irrigation/pulsatile lavage. ANSWER:- a type of non-
instrumental debridement using fluid and pressure to remove surface debris and
bacteria form the wound base without damaging healthy tissue
ANSWERS 2026/2027 – FULLY VERIFIED HIGH YIELD
EDITION.
◎ 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
◎ chemical debridement by silver nitrate. ANSWER:- a type of non-instrumental
debridement using silver nitrate to reduce fibroblast proliferation and overgrowth
*silver nitrate is a non-selective, caustic, chemical which burns and contacted tissues
◎ benefits of chemical debridement by silver nitrate. ANSWER:- removes excess
granulation tissue, removes necrotic tissue, can open up epibole, reduces bioburden
◎ disadvantages of chemical debridement by silver nitrate. ANSWER:- use is
controversial, painful, can stain skin, absorption of toxic silver is possible
◎ contraindications of chemical debridement by silver nitrate. ANSWER:- avoid use in
pediatric patients as it can cause silver toxicity and is painful
◎ biosurgical debridement. ANSWER:- a type of non-instrumental debridement using
medical grade maggots to liquify necrotic tissue through proteolytic enzymes
◎ disadvantages of biosurgical debridement. ANSWER:- distasteful to most
patients/caregivers, bleeding, pain, crawling sensation
◎ contraindications or biosurgical debridement. ANSWER:- poorly perfused wounds,
exposed blood vessels, necrotic bones, limb-threatening infections
◎ mechanical debridement by wet-to-dry dressing. ANSWER:- a type of non-
instrumental debridement done by using damp gauze in the wound bed that is allowed
to dry out to trap tissue which is then pulled off during dressing changes
◎ benefits of mechanical debridement by wet-to-dry dressing. ANSWER:- cheap,
dressing change is easy to perform, use in heavily necrotic or infected wounds without
granulation tissue
◎ disadvantages of mechanical debridement by wet-to-dry dressing. ANSWER:-
painful, non-selective (will pull off healing tissue with necrotic tissue), time consuming
(multiple dressing changes daily for weeks)
◎ contraindications of mechanical debridement by wet-to-dry dressing. ANSWER:-
clean granulation wounds
◎ mechanical debridement by irrigation/pulsatile lavage. ANSWER:- a type of non-
instrumental debridement using fluid and pressure to remove surface debris and
bacteria form the wound base without damaging healthy tissue
