WOCN Wound Exam Questions and
Answers
Question 1
What bathing considerations must you take for premature infants?
Correct Answer
<30 weeks bathe with water only for 2 weeks
Question 2
What effect do low zinc levels have on wound healing?
Correct Answer
compromise collagen synthesis/crosslinking
Question 3
When is surgical debridement the best option?
Correct Answer
for full thickness wounds involving bone or joint and wounds with large amount of
necrotic tissue
Question 4
How do you manage periwound MASD?
Correct Answer
appropriate dressings
Moisture barriers where adhesion is not a problem
Page 1 of 96
,Question 5
Why/when do you use alcohol free liquid barrier film moisture barrier products?
Correct Answer
Waterproof film to intact skin
Can combine with pectin powder to protect damaged skin (crusting)
Question 6
What must you do to surgically debride a patient with cellulitis?
Correct Answer
treat the cellulitis first
Question 7
What do gastrostomy tubes do?
Correct Answer
Provide LT stomach decompression or feedings
Question 8
What causes a vasculitic ulcer?
Correct Answer
Caused by inflammation and necrosis of blood vessels usually associated with
immunologic response or drug reaction
Question 9
How do you manage hypertrophic nails?
Correct Answer
Dremel before trimming
Page 2 of 96
,Question 10
What are the advantages of removable cast walkers?
Correct Answer
lighter weight, some will relieve edema, protects toes, one time charge for payer,
removable
Question 11
Which tissue layer is most susceptible to ischemic damage?
Correct Answer
Muscle/fascia layer
Question 12
Who is hydrotherapy best for?
Correct Answer
loose slough and/or large exudate, wounds with heavy bacterial coutns
Question 13
What is a fistula?
Correct Answer
abnormal communication between two organs or organ and skin surface
Question 14
What are the limitations of total contact casting?
Correct Answer
clinician proficiency, time consuming, heavy and bulky, no frequent wound
care/assessments, no infection or osteomyelitis, wound wider at surface to prevent
premature closure, CI for ischemia
Page 3 of 96
, Question 15
What are dialkylcarbamoyl chloride (sorbact) dressings used for?
Correct Answer
Attract bacteria to hydrophobic surface and then trap bacteria within dressing
Question 16
What is support surface active therapy?
Correct Answer
powered surface with air chambers that are alternately inflated and deflated
according to defined cycle and not in response to patient's weight
Question 17
Describe a stage 1 pressure injury
Correct Answer
non-blanchable erythema of intact skin
Question 18
What are the advantages of a half-shoe?
Correct Answer
modifiable for foot, lightweight but stable and reusable, allows frequent wound
inspection, less cumbersome
Question 19
How do you rank in the braden scale category activity?
Correct Answer
1 - bedfast
2 - chairfast
3 - walks occasionally for short distances with or without assistance
4 - walks frequently at least twice a day
Page 4 of 96
Answers
Question 1
What bathing considerations must you take for premature infants?
Correct Answer
<30 weeks bathe with water only for 2 weeks
Question 2
What effect do low zinc levels have on wound healing?
Correct Answer
compromise collagen synthesis/crosslinking
Question 3
When is surgical debridement the best option?
Correct Answer
for full thickness wounds involving bone or joint and wounds with large amount of
necrotic tissue
Question 4
How do you manage periwound MASD?
Correct Answer
appropriate dressings
Moisture barriers where adhesion is not a problem
Page 1 of 96
,Question 5
Why/when do you use alcohol free liquid barrier film moisture barrier products?
Correct Answer
Waterproof film to intact skin
Can combine with pectin powder to protect damaged skin (crusting)
Question 6
What must you do to surgically debride a patient with cellulitis?
Correct Answer
treat the cellulitis first
Question 7
What do gastrostomy tubes do?
Correct Answer
Provide LT stomach decompression or feedings
Question 8
What causes a vasculitic ulcer?
Correct Answer
Caused by inflammation and necrosis of blood vessels usually associated with
immunologic response or drug reaction
Question 9
How do you manage hypertrophic nails?
Correct Answer
Dremel before trimming
Page 2 of 96
,Question 10
What are the advantages of removable cast walkers?
Correct Answer
lighter weight, some will relieve edema, protects toes, one time charge for payer,
removable
Question 11
Which tissue layer is most susceptible to ischemic damage?
Correct Answer
Muscle/fascia layer
Question 12
Who is hydrotherapy best for?
Correct Answer
loose slough and/or large exudate, wounds with heavy bacterial coutns
Question 13
What is a fistula?
Correct Answer
abnormal communication between two organs or organ and skin surface
Question 14
What are the limitations of total contact casting?
Correct Answer
clinician proficiency, time consuming, heavy and bulky, no frequent wound
care/assessments, no infection or osteomyelitis, wound wider at surface to prevent
premature closure, CI for ischemia
Page 3 of 96
, Question 15
What are dialkylcarbamoyl chloride (sorbact) dressings used for?
Correct Answer
Attract bacteria to hydrophobic surface and then trap bacteria within dressing
Question 16
What is support surface active therapy?
Correct Answer
powered surface with air chambers that are alternately inflated and deflated
according to defined cycle and not in response to patient's weight
Question 17
Describe a stage 1 pressure injury
Correct Answer
non-blanchable erythema of intact skin
Question 18
What are the advantages of a half-shoe?
Correct Answer
modifiable for foot, lightweight but stable and reusable, allows frequent wound
inspection, less cumbersome
Question 19
How do you rank in the braden scale category activity?
Correct Answer
1 - bedfast
2 - chairfast
3 - walks occasionally for short distances with or without assistance
4 - walks frequently at least twice a day
Page 4 of 96
