WEB WOC Wound Care UPDATED
ACTUAL Exam Questions and CORRECT
Answers
TIMERS - CORRECT ANSWER - Tissue management
Inflammation/infection control
Moisture balance
Edge/epithelial advancement
Regeneration/repair of tissue
Social/patient related factors
Framework used to provide an optimal physiologic wound environment that is conducive to
healing - CORRECT ANSWER - TIMERS
Goal of tissue management - CORRECT ANSWER - to remove non-viable, necrotic tissue
as well as non-functional tissue such as hypergranulation
goal of inflammation or infection control - CORRECT ANSWER - eliminate infection and
control bioburden
goal of moisture balance - CORRECT 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 - CORRECT ANSWER - keep wound edged open,
address epibole and undermining, remove callous, protect periwound skin
goal of regeneration/repair of tissue - CORRECT ANSWER - cellular products, tissue
based products, advanced therapies such as hyperbaric treatment of NPWT
goal of social/patient related factors - CORRECT ANSWER - develop a patient-centers
POC, patient engagement, holistic assessment
why use debridement? - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - painless, easily done with
moisture retentive dressings, aides in combination debridement methods
disadvantages of autolytic debridement - CORRECT ANSWER - takes times, may be
aesthetically displeasing to the patient if using a transparent dressing
contraindications to autolytic debridement - CORRECT ANSWER - neutropenic patients,
those with diabetes mellitus (higher risk for infection)
surfactant debridement - CORRECT 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 - CORRECT ANSWER - stagnant wounds, local
wound infections, burns
benefits of surfactant debridement - CORRECT ANSWER - cleanses wound without the
use of cytogenic agents, reduces inflammation, reduces biofilm, allows for daily visualization of
wound
disadvantages of surfactant debridement - CORRECT ANSWER - can be expensive,
dressing must be changed daily
contraindications for surfactant debridement - CORRECT ANSWER - sensitivity to
chemical properties
enzymatic debridement - CORRECT 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 - CORRECT ANSWER - faster than autolysis, good
option for those at high risk for bleeding, safe in infected wounds
disadvantages of enzymatic debridement - CORRECT ANSWER - costly, daily
application, can sting, takes longer than sharp or mechanical debridement
contraindications of enzymatic debridement - CORRECT ANSWER - not compatible with
metal products, some antiseptic cleansers reduce its activity/effectiveness
chemical debridement by sodium hypochlorite - CORRECT 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 - CORRECT ANSWER -
grossly necrotic or infected wounds
ACTUAL Exam Questions and CORRECT
Answers
TIMERS - CORRECT ANSWER - Tissue management
Inflammation/infection control
Moisture balance
Edge/epithelial advancement
Regeneration/repair of tissue
Social/patient related factors
Framework used to provide an optimal physiologic wound environment that is conducive to
healing - CORRECT ANSWER - TIMERS
Goal of tissue management - CORRECT ANSWER - to remove non-viable, necrotic tissue
as well as non-functional tissue such as hypergranulation
goal of inflammation or infection control - CORRECT ANSWER - eliminate infection and
control bioburden
goal of moisture balance - CORRECT 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 - CORRECT ANSWER - keep wound edged open,
address epibole and undermining, remove callous, protect periwound skin
goal of regeneration/repair of tissue - CORRECT ANSWER - cellular products, tissue
based products, advanced therapies such as hyperbaric treatment of NPWT
goal of social/patient related factors - CORRECT ANSWER - develop a patient-centers
POC, patient engagement, holistic assessment
why use debridement? - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - painless, easily done with
moisture retentive dressings, aides in combination debridement methods
disadvantages of autolytic debridement - CORRECT ANSWER - takes times, may be
aesthetically displeasing to the patient if using a transparent dressing
contraindications to autolytic debridement - CORRECT ANSWER - neutropenic patients,
those with diabetes mellitus (higher risk for infection)
surfactant debridement - CORRECT 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 - CORRECT ANSWER - stagnant wounds, local
wound infections, burns
benefits of surfactant debridement - CORRECT ANSWER - cleanses wound without the
use of cytogenic agents, reduces inflammation, reduces biofilm, allows for daily visualization of
wound
disadvantages of surfactant debridement - CORRECT ANSWER - can be expensive,
dressing must be changed daily
contraindications for surfactant debridement - CORRECT ANSWER - sensitivity to
chemical properties
enzymatic debridement - CORRECT 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 - CORRECT ANSWER - faster than autolysis, good
option for those at high risk for bleeding, safe in infected wounds
disadvantages of enzymatic debridement - CORRECT ANSWER - costly, daily
application, can sting, takes longer than sharp or mechanical debridement
contraindications of enzymatic debridement - CORRECT ANSWER - not compatible with
metal products, some antiseptic cleansers reduce its activity/effectiveness
chemical debridement by sodium hypochlorite - CORRECT 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 - CORRECT ANSWER -
grossly necrotic or infected wounds
