Certified Wound, Ostomy and Continence
Nurse (CWOCN practice test exam
1. A patient has a Stage 3 pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: C
Rationale: Stage 3 pressure injury involves full-thickness skin
loss with visible subcutaneous fat but no exposed bone,
tendon, or muscle.
2. A patient has a Stage 4 pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
,C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: D
Rationale: Stage 4 pressure injury involves full-thickness tissue
loss with exposed bone, tendon, or muscle.
3. A patient has a Stage 2 pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: B
Rationale: Stage 2 pressure injury involves partial-thickness skin
loss with exposed dermis.
4. A patient has a Stage 1 pressure injury. What does this
indicate?
,A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: A
Rationale: Stage 1 pressure injury involves non-blanchable
erythema of intact skin.
5. A patient has an unstageable pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss obscured by slough or eschar
D. Full-thickness tissue loss with exposed bone
Answer: C
Rationale: Unstageable pressure injury involves full-thickness
skin loss obscured by slough or eschar.
, 6. A patient has a deep tissue pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Persistent non-blanchable deep red, maroon, or purple
discoloration
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: B
Rationale: Deep tissue pressure injury involves persistent non-
blanchable deep red, maroon, or purple discoloration.
7. What is the priority intervention for pressure injury
prevention?
A. Reposition every 2 hours
B. Use pressure-redistribution surface
C. Maintain skin hygiene
D. All of the above
Nurse (CWOCN practice test exam
1. A patient has a Stage 3 pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: C
Rationale: Stage 3 pressure injury involves full-thickness skin
loss with visible subcutaneous fat but no exposed bone,
tendon, or muscle.
2. A patient has a Stage 4 pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
,C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: D
Rationale: Stage 4 pressure injury involves full-thickness tissue
loss with exposed bone, tendon, or muscle.
3. A patient has a Stage 2 pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: B
Rationale: Stage 2 pressure injury involves partial-thickness skin
loss with exposed dermis.
4. A patient has a Stage 1 pressure injury. What does this
indicate?
,A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: A
Rationale: Stage 1 pressure injury involves non-blanchable
erythema of intact skin.
5. A patient has an unstageable pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss obscured by slough or eschar
D. Full-thickness tissue loss with exposed bone
Answer: C
Rationale: Unstageable pressure injury involves full-thickness
skin loss obscured by slough or eschar.
, 6. A patient has a deep tissue pressure injury. What does this
indicate?
A. Non-blanchable erythema
B. Persistent non-blanchable deep red, maroon, or purple
discoloration
C. Full-thickness skin loss
D. Full-thickness tissue loss with exposed bone
Answer: B
Rationale: Deep tissue pressure injury involves persistent non-
blanchable deep red, maroon, or purple discoloration.
7. What is the priority intervention for pressure injury
prevention?
A. Reposition every 2 hours
B. Use pressure-redistribution surface
C. Maintain skin hygiene
D. All of the above
