CWON — Certified Wound Ostomy Nurse
Exam 2026–2027 | Comprehensive 100-
Question Practice Test with Answers &
Rationales| Pdf Access Already Graded A+.
1. Which assessment finding is most important when initially evaluating a chronic wound?
A. Patient's favorite food
B. Wound location, size, depth, tissue type, drainage, and surrounding skin
C. Patient's marital status
D. Hair color
Answer: B
Rationale: Comprehensive wound assessment establishes a baseline and guides treatment.
Location, dimensions, tissue type, exudate, odor, periwound condition, pain, and infection
findings are particularly important.
2. Which wound measurement should be documented consistently to evaluate healing?
A. Length, width, and depth
B. Temperature only
C. Pulse rate only
D. Blood pressure only
Answer: A
Rationale: Consistent measurement of wound dimensions helps determine whether the wound
is progressing toward closure.
3. When measuring wound length, the nurse should generally measure:
,A. From the widest point vertically
B. The longest dimension of the wound
C. Only the center of the wound
D. The circumference only
Answer: B
Rationale: Wound length is generally measured along the greatest longitudinal dimension using
a consistent method.
4. Which tissue is characterized by a moist, red or pink appearance and indicates healthy
granulation?
A. Eschar
B. Granulation tissue
C. Slough
D. Necrotic tissue
Answer: B
Rationale: Healthy granulation tissue is typically moist, red or pink, and contains newly formed
capillaries and connective tissue.
5. Which wound tissue is typically yellow, tan, gray, or green and may adhere to the wound
bed?
A. Granulation
B. Slough
C. Epithelial tissue
D. Healthy muscle
Answer: B
Rationale: Slough consists of devitalized tissue and proteinaceous material and may require
removal depending on the wound and clinical circumstances.
6. Black, brown, or leathery devitalized tissue is commonly referred to as:
A. Granulation
B. Eschar
,C. Epithelialization
D. Maceration
Answer: B
Rationale: Eschar is thick, devitalized tissue that can be black, brown, or tan and may be dry or
leathery.
7. Which wound assessment finding indicates undermining?
A. Tissue destruction extending under intact wound edges
B. A superficial abrasion
C. Healthy epithelial tissue
D. Dry intact skin
Answer: A
Rationale: Undermining occurs when tissue destruction extends beneath the wound edge,
creating a space under intact skin.
8. A sinus tract is best described as:
A. A superficial skin tear
B. A narrow passage extending from the wound into deeper tissue
C. Healthy granulation tissue
D. A dry scab
Answer: B
Rationale: A sinus tract is a narrow channel extending from a wound into deeper tissue and
should be assessed and documented.
9. Which factor can significantly delay wound healing?
A. Adequate oxygenation
B. Poor nutrition
C. Adequate perfusion
D. Appropriate moisture balance
Answer: B
, Rationale: Protein-calorie malnutrition and deficiencies in nutrients such as protein, zinc, and
certain vitamins can impair tissue repair.
10. Why is wound pain assessment important?
A. Pain has no relationship to wound care.
B. Pain can affect quality of life and may indicate complications.
C. Pain always means infection.
D. Pain eliminates the need for wound assessment.
Answer: B
Rationale: Pain should be assessed routinely because it affects function and quality of life and
can sometimes signal infection, ischemia, pressure, or other complications.
Pressure Injuries
11. A pressure injury is primarily caused by:
A. Prolonged pressure and/or shear
B. Excessive protein intake
C. Normal skin hydration
D. Increased physical activity
Answer: A
Rationale: Pressure and shear can impair tissue perfusion and cause localized tissue damage.
12. Which patient is at increased risk for pressure injury?
A. Fully mobile patient with intact sensation
B. Immobile patient with impaired sensation and poor nutrition
C. Healthy ambulatory adult
D. Patient who changes position independently
Answer: B
Rationale: Immobility, sensory impairment, malnutrition, moisture, perfusion problems, and
other factors increase pressure-injury risk.
Exam 2026–2027 | Comprehensive 100-
Question Practice Test with Answers &
Rationales| Pdf Access Already Graded A+.
1. Which assessment finding is most important when initially evaluating a chronic wound?
A. Patient's favorite food
B. Wound location, size, depth, tissue type, drainage, and surrounding skin
C. Patient's marital status
D. Hair color
Answer: B
Rationale: Comprehensive wound assessment establishes a baseline and guides treatment.
Location, dimensions, tissue type, exudate, odor, periwound condition, pain, and infection
findings are particularly important.
2. Which wound measurement should be documented consistently to evaluate healing?
A. Length, width, and depth
B. Temperature only
C. Pulse rate only
D. Blood pressure only
Answer: A
Rationale: Consistent measurement of wound dimensions helps determine whether the wound
is progressing toward closure.
3. When measuring wound length, the nurse should generally measure:
,A. From the widest point vertically
B. The longest dimension of the wound
C. Only the center of the wound
D. The circumference only
Answer: B
Rationale: Wound length is generally measured along the greatest longitudinal dimension using
a consistent method.
4. Which tissue is characterized by a moist, red or pink appearance and indicates healthy
granulation?
A. Eschar
B. Granulation tissue
C. Slough
D. Necrotic tissue
Answer: B
Rationale: Healthy granulation tissue is typically moist, red or pink, and contains newly formed
capillaries and connective tissue.
5. Which wound tissue is typically yellow, tan, gray, or green and may adhere to the wound
bed?
A. Granulation
B. Slough
C. Epithelial tissue
D. Healthy muscle
Answer: B
Rationale: Slough consists of devitalized tissue and proteinaceous material and may require
removal depending on the wound and clinical circumstances.
6. Black, brown, or leathery devitalized tissue is commonly referred to as:
A. Granulation
B. Eschar
,C. Epithelialization
D. Maceration
Answer: B
Rationale: Eschar is thick, devitalized tissue that can be black, brown, or tan and may be dry or
leathery.
7. Which wound assessment finding indicates undermining?
A. Tissue destruction extending under intact wound edges
B. A superficial abrasion
C. Healthy epithelial tissue
D. Dry intact skin
Answer: A
Rationale: Undermining occurs when tissue destruction extends beneath the wound edge,
creating a space under intact skin.
8. A sinus tract is best described as:
A. A superficial skin tear
B. A narrow passage extending from the wound into deeper tissue
C. Healthy granulation tissue
D. A dry scab
Answer: B
Rationale: A sinus tract is a narrow channel extending from a wound into deeper tissue and
should be assessed and documented.
9. Which factor can significantly delay wound healing?
A. Adequate oxygenation
B. Poor nutrition
C. Adequate perfusion
D. Appropriate moisture balance
Answer: B
, Rationale: Protein-calorie malnutrition and deficiencies in nutrients such as protein, zinc, and
certain vitamins can impair tissue repair.
10. Why is wound pain assessment important?
A. Pain has no relationship to wound care.
B. Pain can affect quality of life and may indicate complications.
C. Pain always means infection.
D. Pain eliminates the need for wound assessment.
Answer: B
Rationale: Pain should be assessed routinely because it affects function and quality of life and
can sometimes signal infection, ischemia, pressure, or other complications.
Pressure Injuries
11. A pressure injury is primarily caused by:
A. Prolonged pressure and/or shear
B. Excessive protein intake
C. Normal skin hydration
D. Increased physical activity
Answer: A
Rationale: Pressure and shear can impair tissue perfusion and cause localized tissue damage.
12. Which patient is at increased risk for pressure injury?
A. Fully mobile patient with intact sensation
B. Immobile patient with impaired sensation and poor nutrition
C. Healthy ambulatory adult
D. Patient who changes position independently
Answer: B
Rationale: Immobility, sensory impairment, malnutrition, moisture, perfusion problems, and
other factors increase pressure-injury risk.
