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WOCN Wound Exam Questions & Answers Updated 2026

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WOCN Wound Exam Questions & Answers Updated 2026

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WOCN Wound Exam Questions &
Answers Updated 2026
GoalsBofBwoundBassessmentB-BAnswer1.BDetermineBetiologicBfactors

2.BAssessBsystemicBfactors/comorbidities

3.BAssessBwoundBtoBdetermineBphaseBofBhealingB

4.BDetermineBgoalsBofBtopicalBtherapy

WhyBdoesBhyperglycemiaBaffectBwoundBhealing?B-
BAnswerImpairsBleukocyteBfunctionBandBnegativelyBimpactsBcollagenBsyntehesis,BdevelopmentB
ofBtensileBstrength,BepithelialBresurfacing

WhatBBGBparametersBshouldBbeBmaintainedBforBwoundBhealing?B-
BAnswerBGB<180BforBleukocyteBfunction;B<140BforBhealingB

A1CB<7BforBmost,B<8BifBhxBofBsevereBhypoglycemia,BadvancedBcomorbidities,BlimitedBlifeBexp
ectancy

WhyBisBnutritionBrelevantBtoBwoundBhealing?B-
BAnswerMuscleBorBSubQBwastingBincreasesBriskBofBpressure/shearBdamage

malnourishedBptBunableBtoBsynthesizeBandBcross-linkBcollagenBnormallyB

proteinBdeficiencyBincreasesBriskBofBinfection

WhatBeffectBdoBlowBzincBlevelsBhaveBonBwoundBhealing?B-
BAnswercompromiseBcollagenBsynthesis/crosslinking

WhatBaminoBacidsBareBessentialBforBcollagenBsynthesis?B

WhatBisBtheBeffectBofBstressBonBtheseBaminoBacids?B-BAnswerGlutamineBandBl-arginine

NotBadequatelyBproducedBduringBtimesBofBphysiologicBstress

WhatBweightBtrendBsuggestsBnutritionalBdeficiency?B-
BAnswerUnplannedBweightBlossB=>2.5%BofBusualBweightBinB30BdaysBorB=>10%BwithinB180Bda
ys

BMIB<18.5

,WhatBserumBalbuminBlevelBindicatesBmalnutrition?B-BAnswer<3.5Bg/dl

WhatBserumBtransferrinBlevelBindicatesBmalnutrition?B-BAnswer<100mg/dl

WhatBserumBprealbuminBlevelBindicatesBmalnutrition?B-BAnswer<19.5

WhatBtotalBlymphocyteBcountBlevelBindicatesBmalnutrition?B-BAnswer<1500

WhatBareBs/sBofBnutritionalBdeficits?B-
BAnswerskinBrashes,BcracksBinBmucousBmembranes,Bedema,BmuscleBandBsubQBtissueBwasting,
BnonhealingBwounds,Bdry/pluckableBhair,BdryBflakyBitchyBskin

WhatBisBtheBsuggestedBcaloricBintake?B-BAnswer30-35Bcal/kgBbodyBweight

WhatBisBtheBsuggestedBproteinBintake?B-BAnswer1.25-1.5Bg/kgBbodyBweight

WhatBisBtheBsuggestedBfluidBintake?B-BAnswer30mlBperBkgB(unlessBfluidBrestrictionBindicated)

HowBdoByouBassessBperfusion/oxygenation?B-
BAnswercapillaryBrefill,Bpulses,Bpresence/absenceBofBedema,BTcpO2BlevelsB(atBleastB40),Bcolor
BofBwoundBbedB(brightBpink/red),BABIBforBlowerBextremityBulcers,BsystolicBbp/episodesBofBhy
potension,BvasopressorBadministration

HowBdoByouBassessBforBimmunosuppression?B-
BAnswerComorbidities/therapiesBsuchBasBHIV,BsteroidBtehrapyBinBdosesB>30mg/dayBforB>30Bd
ays,Band/orBchemoBresultingBinBneutropenia;BhighBdoseBNSAIDs

WhatBcomorbiditiesBcompromiseBwoundBhealing?B-
BAnswerrenalBfailure,BliverBfailure,BmultisystemBtrauma,Bsmoking,BadvancedBage

WhatBareBtheBlayersBofBtheBskinB-BAnswerEpidermisB

BasementBMembraneBZone

DermisB

SubcutaneousBTissueB

,Muscle/Fascia/Bone

WhatBareBtheBlayersBofBtheBepidermis?B-BAnswerStratumBcorneumB-
BkeratinocytesBfilledBwithBkeratin

StratumBlucidumB-BonlyBinBpalms/soles,BthickBareas

StratumBgranulosumB-BodlandBbodiesBsecreteBceramides,Blipophilic

StratumBspinosumB-BdesmosomesB(cellBtoBcellBjunctions)B

StratumBgerminativumB-Bdermal-epidermalBjunction

WhatBisBtheBBasementBMembraneBZone?B-BAnswerDermal-epidermalBjunction

WhatBareBtheBcomponentsBofBtheBdermis?B-
BAnswerPapillaryBdermis:BpapillaeBinterlockBwithBreteBridges,BcapillaryBloops,BsensitiveBtoBpoin
tBpressure

ReticularBdermis:BmostlyBtypeB1Bcollagen,Bvasculars,BandBlymphatics

WhatBstructuresBofBtheBskinBcanBregenerate?B-BAnswerEpidermisBandBpartsBofBtheBdermis

WhatBstructuresBofBtheBskinBhealBbyBscarBformation?B-
BAnswerEpidermalBappendages,BSubcutaneousBtissue/fascia/muscle

HowBisBnewbornBskinBdifferent?B-BAnswerNoBscarsBupBtoB2ndBtrimester

30%BthinnerBskin

FasterBepidermalBturnover

HowBisBprematureBinfantBskinBdifferent?B-
BAnswerVeryBthin,BincreasedBfluidBloss,BfunctionalBstratumBcorneumBatB30-32Bweeks

WhatBproblemsBmayBariseBwithBinfantBskin?B-
BAnswerincreasedBpermeability,BincreasedBMARSIBrisk,Bextravasation,BdiaperBdermatitis

HowBdoByouBmitigateBMARSIBriskBinBinfants/elderly?B-
BAnsweravoidBtapeBorBuseBhydrocolloidBbaseBorBsiliconeBadhesive,BnoBalcoholBremoversBonly
BmineralBoil,Bpetroleum,BsiliconeB(preferred),BandBcitrus)

, HowBdoByouBmitigateBextravasationBinBanBinfant?B-BAnswerHyaluronidaseB

ORB

phentolamineBifBvasoconstrictor

HowBdoByouBmitigateBdiaperBdermatitis?B-BAnswerHigherBpH

UseBpetroleumBbaseBforBmildBerythemaBandBzincBoxideBforBdenudedBskin

severBdenudationB-Bcarboxymethylcellulose/petrolatum/zincBoxideB(Ilex)

WhatBbathingBconsiderationsBmustByouBtakeBforBprematureBinfants?B-
BAnswer<30BweeksBbatheBwithBwaterBonlyBforB2Bweeks

WhatBareBcommonBissuesBwithBolderBskin?B-
BAnswerThinner,BcollagenBshrinksBandBcausesBwrinkles

ReteBridgesBandBdermalBpapillaeBflattenB-BincreasedBriskBforBtears/stripping

ReducedBsebaceousBandBsweatBglandsB-BdryBskin

Erratic/decreasedBmelaninBproduction

DecreasedBsensationB-BincreasedBtraumaBriskB

LossBofBSubQBtissueB-BincreasedBshearBandBdecreasedBinsulationB

IncreasedBmalignantBlesionsB-BreferBtoBderm

ReducedBbloodBflow,BincreasedBepidermalBturnoverB-BslowBhealingB

IncreasedBsenescenseB

MaybeBincreasedBinflammatoryBmediators,BdecreasedBinhibitors

IncreasedBcapillaryBfragilityB(bruises)

WhatBstrategiesBkeepBskinBhealthy?B-BAnswerpHBbalancedBcleanersB-BnoBalkalineBsoaps

SuperfattedBnonalkalineBsoapsBforBdryBskin

CHGBreducesBpathogensBandBsepsis

IndividualizeBbathingBschedule

ApplyBlubricants,Boils,BcreamsBtoBcleanBslightlyBdampBskin

WhatBtypesBofBproductsBareBemollients?B-BAnswermineralBoil,Bpetrolatum,Blanolin,Bceramides

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WOCN Wound Exam Questions & Answers Updated 2026

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