CWCN EXAM 2024/2025 WITH 100% ACCURATE
SOLUTIONS
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.
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.
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.
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.
nutrition - Answer ✔✔At the end of the inflammatory phase, the patient's ______________ status
should be monitored because a positive nitrogen balance is key for the proliferative phase of wound
healing.
catabolic - Answer ✔✔Oxandrolone is for patients who are in a persistent ______________ state and
have trouble breaking out of this state.
, D - Answer ✔✔If the patient is responding to nutritional support, but their wound is clean and non
granulating, which supplements should be considered?
A. L-Arginine
B. Glutamine
C. Vitamin A
D. A and B
silver nitrate (AgNO3) - Answer ✔✔___________________ Can be used to reopen rolled wound edges.
48 hours - Answer ✔✔A normally healing surgical incision is usually fully re-epithelialized within
________________ of closure.
Vitamin A - Answer ✔✔Steroids have a profound negative impact on wound healing. Topical
___________________ can be used to counteract the effects of steroids on an open wound bed.
wet to dry - Answer ✔✔a mechanical, nonselective form of debridement, appropriate for heavily
necrotic and infected wounds without visible granulation tissue.
False - Answer ✔✔True or False: When using wet-to-dry gauze mechanical debridement, one should
moisten the gauze before pulling it from the wound bed.
Charcot's foot - Answer ✔✔fracture, subluxation, and/ or dislocation of joints in the foot or ankle
related to diabetic neuropathy
Becaplermin (Regranex) - Answer ✔✔Nonhealing diabetic (neuropathic) foot ulcers with clean wound
beds, no infection, and proper offloading may benefit from ___________________ gel therapy. This gel
is a platelet-derived growth factor.
0.4 - Answer ✔✔Critical ischemia of a limb is determined when the ABI is less than
SOLUTIONS
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.
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.
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.
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.
nutrition - Answer ✔✔At the end of the inflammatory phase, the patient's ______________ status
should be monitored because a positive nitrogen balance is key for the proliferative phase of wound
healing.
catabolic - Answer ✔✔Oxandrolone is for patients who are in a persistent ______________ state and
have trouble breaking out of this state.
, D - Answer ✔✔If the patient is responding to nutritional support, but their wound is clean and non
granulating, which supplements should be considered?
A. L-Arginine
B. Glutamine
C. Vitamin A
D. A and B
silver nitrate (AgNO3) - Answer ✔✔___________________ Can be used to reopen rolled wound edges.
48 hours - Answer ✔✔A normally healing surgical incision is usually fully re-epithelialized within
________________ of closure.
Vitamin A - Answer ✔✔Steroids have a profound negative impact on wound healing. Topical
___________________ can be used to counteract the effects of steroids on an open wound bed.
wet to dry - Answer ✔✔a mechanical, nonselective form of debridement, appropriate for heavily
necrotic and infected wounds without visible granulation tissue.
False - Answer ✔✔True or False: When using wet-to-dry gauze mechanical debridement, one should
moisten the gauze before pulling it from the wound bed.
Charcot's foot - Answer ✔✔fracture, subluxation, and/ or dislocation of joints in the foot or ankle
related to diabetic neuropathy
Becaplermin (Regranex) - Answer ✔✔Nonhealing diabetic (neuropathic) foot ulcers with clean wound
beds, no infection, and proper offloading may benefit from ___________________ gel therapy. This gel
is a platelet-derived growth factor.
0.4 - Answer ✔✔Critical ischemia of a limb is determined when the ABI is less than
