1
¶ CWCN Exam Prep 2025 EXAM QUESTIONS AND
VERIFIED SOLUTIONS |ELABORATED &DETAILED
ANSWERS!
surface area, type of tissue, volume of exudate - (ANSWER)The Pressure Ulcer
Tool for Healing (PUSH) tools is based on what three characteristics of a wound?
autolytic - (ANSWER)Severe neutropenia (<500) is a contraindication for
__________________ debridement.
MRI - (ANSWER)An ___________ is the most accurate noninvasive approach to
diagnosis of osteomyelitis.
B-hemolytic strep - (ANSWER)Any level of __________________________ is an
indicator of wound infection.
adhesive - (ANSWER)Hydrocolloids are to be avoided for skin tears because they
are aggressively ___________________.
hydrocolloids - (ANSWER)occlusive dressings made of material like pectin,
gelatin, or carboxymethylcellulose. Self-adhesive dressings that provide a moist
healing environment and autolytic debridement but only light-moderate
absorption. Recommended for clean, shallow wounds with minimal exudate. Can
be used to protect intact skin or newly resurfaced breakdown.
sleeves - (ANSWER)Protective __________ can be used in patients with frail skin
to prevent skin tears.
, 2
candidal intertrigo - (ANSWER)A condition that happens due to moisture trapping
in skin folds, presenting as beefy-red maculopapular rashes with peripheral
scaling and distinct satellite lesions.
antifungals (e.g. nystatin, fluconazole) - (ANSWER)candidal intertrigo is treated
with topical or oral __________________.
Toxic Epidermal Necrolysis (TEN) - (ANSWER)Life-threatening immune-mediated
skin/mucous membrane disorder. Significant epidermal necrosis and detachment.
Often results from a drug reaction. Usually severe with more than 30% Body
Surface Area Skin detachment.
allopurinol - (ANSWER)The most commonly implicated medication for patients
with SJS/TEN is ____________________.
Toxic Epidermal Necrolysis - (ANSWER)Fever, Flu-like symptoms, malaise, muscle
aches, eye pain, pain with swallowing, skin tenderness, inflammation, blistering.
Later disease involves confluent, red oval macules/papules with pruritic centers or
diffuse erythema. Widespread blistering and epidermal sloughing. Lesions usually
start on the face and spread.
fluid - (ANSWER)Care of the patient with TEN should resemble burn care with
aggressive __________ management.
, 3
Petrolatum - (ANSWER)_____________________ and other nonadherent contact
layer dressings are commonly used for patients with Toxic Epidermal Necrolysis.
debridement - (ANSWER)Aggressive _______________ is not indicated in Toxic
Epidermal Necrolysis Syndrome because of extensive denudation.
Nonwoven - (ANSWER)Which gauze is a better choice for dressings that come
into contact with the wound bed: nonwoven or woven?
Necrotizing fasciitis - (ANSWER)The lesions of this disease typically begin as
erythematous, painful, edematous areas on the skin after major or minor skin
trauma. Often mistaken for cellulitis. Most commonly on the extremities,
sometimes on the perianal and trunk. Signs include fever and chills. Lab values
included elevated WBCs and anemia.
False (needs aggressive debridement and broad-spectrum IV antibiotics.) -
(ANSWER)True or False: Aggressive debridement is not recommended for
Necrotizing Fasciitis patients.
Hyperbaric - (ANSWER)______________ oxygen is a treatment option for
necrotizing fasciitis patients.
negative pressure wound therapy (NPWT) -
(ANSWER)__________________________ is considered the standard of care after
a clean wound bed has been established in the necrotizing fasciitis patient.
, 4
Shear - (ANSWER)___________ causes elongated wounds with undermining and
tunneling.
True - (ANSWER)True or False: Iodine and silver will inactivate collagenase.
Nickel - (ANSWER)A ____________ thick layer of collagenase should be applied
to a wound.
collagenase - (ANSWER)The only enzyme available in the US as a debriding agent
is _____________. It is derived from clostridium bacteria and dissolves the
collagen anchors that secure the necrotic tissue to the wound bed. This process
takes several days to weeks.
enzymatic - (ANSWER)___________________ debridement (collagenase) is safe
for infected wounds. However, it does not have any local antimicrobial effects.
crystal violet, methylene blue, sodium hypochlorite - (ANSWER)Collagenase is
safe for use with which three antimicrobial products?
True - (ANSWER)True or False: The nurse uses a waterpik on high setting for
wound cleansing, but this causes bacteria to be driven further into the wound
tissues.
¶ CWCN Exam Prep 2025 EXAM QUESTIONS AND
VERIFIED SOLUTIONS |ELABORATED &DETAILED
ANSWERS!
surface area, type of tissue, volume of exudate - (ANSWER)The Pressure Ulcer
Tool for Healing (PUSH) tools is based on what three characteristics of a wound?
autolytic - (ANSWER)Severe neutropenia (<500) is a contraindication for
__________________ debridement.
MRI - (ANSWER)An ___________ is the most accurate noninvasive approach to
diagnosis of osteomyelitis.
B-hemolytic strep - (ANSWER)Any level of __________________________ is an
indicator of wound infection.
adhesive - (ANSWER)Hydrocolloids are to be avoided for skin tears because they
are aggressively ___________________.
hydrocolloids - (ANSWER)occlusive dressings made of material like pectin,
gelatin, or carboxymethylcellulose. Self-adhesive dressings that provide a moist
healing environment and autolytic debridement but only light-moderate
absorption. Recommended for clean, shallow wounds with minimal exudate. Can
be used to protect intact skin or newly resurfaced breakdown.
sleeves - (ANSWER)Protective __________ can be used in patients with frail skin
to prevent skin tears.
, 2
candidal intertrigo - (ANSWER)A condition that happens due to moisture trapping
in skin folds, presenting as beefy-red maculopapular rashes with peripheral
scaling and distinct satellite lesions.
antifungals (e.g. nystatin, fluconazole) - (ANSWER)candidal intertrigo is treated
with topical or oral __________________.
Toxic Epidermal Necrolysis (TEN) - (ANSWER)Life-threatening immune-mediated
skin/mucous membrane disorder. Significant epidermal necrosis and detachment.
Often results from a drug reaction. Usually severe with more than 30% Body
Surface Area Skin detachment.
allopurinol - (ANSWER)The most commonly implicated medication for patients
with SJS/TEN is ____________________.
Toxic Epidermal Necrolysis - (ANSWER)Fever, Flu-like symptoms, malaise, muscle
aches, eye pain, pain with swallowing, skin tenderness, inflammation, blistering.
Later disease involves confluent, red oval macules/papules with pruritic centers or
diffuse erythema. Widespread blistering and epidermal sloughing. Lesions usually
start on the face and spread.
fluid - (ANSWER)Care of the patient with TEN should resemble burn care with
aggressive __________ management.
, 3
Petrolatum - (ANSWER)_____________________ and other nonadherent contact
layer dressings are commonly used for patients with Toxic Epidermal Necrolysis.
debridement - (ANSWER)Aggressive _______________ is not indicated in Toxic
Epidermal Necrolysis Syndrome because of extensive denudation.
Nonwoven - (ANSWER)Which gauze is a better choice for dressings that come
into contact with the wound bed: nonwoven or woven?
Necrotizing fasciitis - (ANSWER)The lesions of this disease typically begin as
erythematous, painful, edematous areas on the skin after major or minor skin
trauma. Often mistaken for cellulitis. Most commonly on the extremities,
sometimes on the perianal and trunk. Signs include fever and chills. Lab values
included elevated WBCs and anemia.
False (needs aggressive debridement and broad-spectrum IV antibiotics.) -
(ANSWER)True or False: Aggressive debridement is not recommended for
Necrotizing Fasciitis patients.
Hyperbaric - (ANSWER)______________ oxygen is a treatment option for
necrotizing fasciitis patients.
negative pressure wound therapy (NPWT) -
(ANSWER)__________________________ is considered the standard of care after
a clean wound bed has been established in the necrotizing fasciitis patient.
, 4
Shear - (ANSWER)___________ causes elongated wounds with undermining and
tunneling.
True - (ANSWER)True or False: Iodine and silver will inactivate collagenase.
Nickel - (ANSWER)A ____________ thick layer of collagenase should be applied
to a wound.
collagenase - (ANSWER)The only enzyme available in the US as a debriding agent
is _____________. It is derived from clostridium bacteria and dissolves the
collagen anchors that secure the necrotic tissue to the wound bed. This process
takes several days to weeks.
enzymatic - (ANSWER)___________________ debridement (collagenase) is safe
for infected wounds. However, it does not have any local antimicrobial effects.
crystal violet, methylene blue, sodium hypochlorite - (ANSWER)Collagenase is
safe for use with which three antimicrobial products?
True - (ANSWER)True or False: The nurse uses a waterpik on high setting for
wound cleansing, but this causes bacteria to be driven further into the wound
tissues.
