WCC Exam Wound Assessment UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Assessment - CORRECT ANSWER - Observation examination gathering of data
Should be included in the head to toe assessment would focus on areas at high risk for
breakdown - CORRECT ANSWER - Careful inspection and palpation of the skin
Frequency of wound assessment/ skin audit - CORRECT ANSWER - Weekly at a
minimum
Wound assessment includes - CORRECT ANSWER - Status of a wound in the
surrounding periwound skin
Purpose of the wound assessment - CORRECT ANSWER - Is a foundation for the care
plan, all care priorities are based on the wound assessment
Wound depth - CORRECT ANSWER - Vertical distance from the visible surface to the
deepest area in the wound bed
How much of the perry wound is observed and assessed - CORRECT ANSWER - At
minimum 4 cm
Tunneling - CORRECT ANSWER - Channel or pathway extends in any direction from the
wound through subcutaneous tissue or muscle resulting in dead space with potential for abscess
formation
Undermining - CORRECT ANSWER - Tissue destruction underlying Intech skin along
balloon margin, the destruction of tissue or alteration extending under the skin edges so that the
wound is larger at its base then under the skin surface
, Tunneling involves a small portion of the wound edge where is undermining involves a
significant portion of the wound edge - CORRECT ANSWER - True
Wound over a bony prominence - CORRECT ANSWER - Pressure
Wounds in the fold of skin - CORRECT ANSWER - Friction and moisture
Wounds on toes - CORRECT ANSWER - Friction from footwear and circulatory problems
Bottom of the foot wounds - CORRECT ANSWER - Diabetes or pressure
Wound on the shin or calf - CORRECT ANSWER - Trauma or circulatory problems
Round elliptical wound edges - CORRECT ANSWER - Pressure
Jagged wound edges - CORRECT ANSWER - Sheer or friction
Irregular shaped wound edges - CORRECT ANSWER - Vascular
Linear wounds - CORRECT ANSWER - Trauma or friction
Key points when assessing wounds - CORRECT ANSWER - Adequate lighting, clean
wound prior to measurement, placed patient in the same position each time, place the wound as
far from the sleep surface as possible
Order of wound measurements - CORRECT ANSWER - Length X Width X depth
ACTUAL Exam Questions and CORRECT
Answers
Assessment - CORRECT ANSWER - Observation examination gathering of data
Should be included in the head to toe assessment would focus on areas at high risk for
breakdown - CORRECT ANSWER - Careful inspection and palpation of the skin
Frequency of wound assessment/ skin audit - CORRECT ANSWER - Weekly at a
minimum
Wound assessment includes - CORRECT ANSWER - Status of a wound in the
surrounding periwound skin
Purpose of the wound assessment - CORRECT ANSWER - Is a foundation for the care
plan, all care priorities are based on the wound assessment
Wound depth - CORRECT ANSWER - Vertical distance from the visible surface to the
deepest area in the wound bed
How much of the perry wound is observed and assessed - CORRECT ANSWER - At
minimum 4 cm
Tunneling - CORRECT ANSWER - Channel or pathway extends in any direction from the
wound through subcutaneous tissue or muscle resulting in dead space with potential for abscess
formation
Undermining - CORRECT ANSWER - Tissue destruction underlying Intech skin along
balloon margin, the destruction of tissue or alteration extending under the skin edges so that the
wound is larger at its base then under the skin surface
, Tunneling involves a small portion of the wound edge where is undermining involves a
significant portion of the wound edge - CORRECT ANSWER - True
Wound over a bony prominence - CORRECT ANSWER - Pressure
Wounds in the fold of skin - CORRECT ANSWER - Friction and moisture
Wounds on toes - CORRECT ANSWER - Friction from footwear and circulatory problems
Bottom of the foot wounds - CORRECT ANSWER - Diabetes or pressure
Wound on the shin or calf - CORRECT ANSWER - Trauma or circulatory problems
Round elliptical wound edges - CORRECT ANSWER - Pressure
Jagged wound edges - CORRECT ANSWER - Sheer or friction
Irregular shaped wound edges - CORRECT ANSWER - Vascular
Linear wounds - CORRECT ANSWER - Trauma or friction
Key points when assessing wounds - CORRECT ANSWER - Adequate lighting, clean
wound prior to measurement, placed patient in the same position each time, place the wound as
far from the sleep surface as possible
Order of wound measurements - CORRECT ANSWER - Length X Width X depth
