CWCN 2024 Practice Test
questions and
answers(graded A+)
Tissue damage underlying intact skin around wound margins is referred to
as: - answer Undermining
A patient presents with a chronic erythematous traumatic wound on the
anterior lower leg. Current care includes use of mupirocin (Bactroban)
cream and a four-layer compression wrap. Hypergranulation tissue is
present in the wound bed. Which modification should be made to this
patient's treatment program? - answer Use foam dressing on the wound
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Hypergranulation tissue - answer excessive, soft, flaccid granulating
tissue that is raised above the level of the periwound tissue, preventing
proper epithelization, and may reflect excess moisture in the wound
Which of the following is MOST effective in protecting the surrounding
skin of a draining wound? - answer Alcohol-free skin sealant
Under which circumstance is negative-pressure wound therapy (NPWT)
CONTRAINDICATED? - answer Unexplored fistula
Contraindications for NPWT - answer -Wound malignancy
-Untreated osteomyelitis
-Exposed blood vessels and organs
-Non-enteric, unexplored fistulas
, Normal ABI - answer 1-1.4
A new patient has an arterial ulcer from a fall 2 months ago that is
increasing in size. The patient shares that glucose levels each morning
average 138. The Certified Wound Care Nurse (CWCN) completes an ankle-
brachial index and calculates a score of 1.0. Pedal pulses are diminished.
The wound is pale pink with serous drainage and measures 3 cm. x 5 cm. x
0.3 cm. Which referral will MOST likely increase wound healing success for
this patient? - answer Vascular surgery
Which wound and dressing combination is MOST appropriate to promote
autolytic debridement? - answer A wound with slough and hydrocolloid
dressing
Autolytic debridement - answer -Using the body's enzymes and WBCs to
debride the wound
-Requires secondary dressing covering (hydrocolloids, alginates,
hydrogels, and transparent films)
A Certified Wound Care Nurse (CWCN) is teaching a hospital orientation
for new nurse graduates and is discussing prevention of pressure injuries.
One nurse asks the CWCN about a patient who developed a deep tissue
injury 3 days after admission even after going to extremes to relieve
pressure. The CWCN takes this opportunity to teach the importance of
each assessment related to deep tissue injury development. What
information can the CWCN provide to the nurse? - answer Irreversible skin
damage can occur within a few hours but may not be visible for 2-5 days
A 45-year-old patient with paraplegia from a motor vehicle accident 3
years ago has stage 3 pressure injuries to the greater trochanters
bilaterally. The patient was hospitalized secondary to appendicitis and is
preparing for discharge. Which outpatient referral should the Certified
Wound Care Nurse (CWCN) recommend FIRST at the visit? - answer
Physical therapy for wheelchair evaluation
A 25-year-old patient is alert and oriented with paraplegia and intact skin.
When reviewing the Braden Scale, the charted score for Friction & Shear is
"Potential problem." The Certified Wound Care Nurse (CWCN) assesses the
patient to be working with physical therapy and witnesses sliding from
questions and
answers(graded A+)
Tissue damage underlying intact skin around wound margins is referred to
as: - answer Undermining
A patient presents with a chronic erythematous traumatic wound on the
anterior lower leg. Current care includes use of mupirocin (Bactroban)
cream and a four-layer compression wrap. Hypergranulation tissue is
present in the wound bed. Which modification should be made to this
patient's treatment program? - answer Use foam dressing on the wound
To get more questions with correct answers email
. We also provide Test banks and other E
books to students - answer
Hypergranulation tissue - answer excessive, soft, flaccid granulating
tissue that is raised above the level of the periwound tissue, preventing
proper epithelization, and may reflect excess moisture in the wound
Which of the following is MOST effective in protecting the surrounding
skin of a draining wound? - answer Alcohol-free skin sealant
Under which circumstance is negative-pressure wound therapy (NPWT)
CONTRAINDICATED? - answer Unexplored fistula
Contraindications for NPWT - answer -Wound malignancy
-Untreated osteomyelitis
-Exposed blood vessels and organs
-Non-enteric, unexplored fistulas
, Normal ABI - answer 1-1.4
A new patient has an arterial ulcer from a fall 2 months ago that is
increasing in size. The patient shares that glucose levels each morning
average 138. The Certified Wound Care Nurse (CWCN) completes an ankle-
brachial index and calculates a score of 1.0. Pedal pulses are diminished.
The wound is pale pink with serous drainage and measures 3 cm. x 5 cm. x
0.3 cm. Which referral will MOST likely increase wound healing success for
this patient? - answer Vascular surgery
Which wound and dressing combination is MOST appropriate to promote
autolytic debridement? - answer A wound with slough and hydrocolloid
dressing
Autolytic debridement - answer -Using the body's enzymes and WBCs to
debride the wound
-Requires secondary dressing covering (hydrocolloids, alginates,
hydrogels, and transparent films)
A Certified Wound Care Nurse (CWCN) is teaching a hospital orientation
for new nurse graduates and is discussing prevention of pressure injuries.
One nurse asks the CWCN about a patient who developed a deep tissue
injury 3 days after admission even after going to extremes to relieve
pressure. The CWCN takes this opportunity to teach the importance of
each assessment related to deep tissue injury development. What
information can the CWCN provide to the nurse? - answer Irreversible skin
damage can occur within a few hours but may not be visible for 2-5 days
A 45-year-old patient with paraplegia from a motor vehicle accident 3
years ago has stage 3 pressure injuries to the greater trochanters
bilaterally. The patient was hospitalized secondary to appendicitis and is
preparing for discharge. Which outpatient referral should the Certified
Wound Care Nurse (CWCN) recommend FIRST at the visit? - answer
Physical therapy for wheelchair evaluation
A 25-year-old patient is alert and oriented with paraplegia and intact skin.
When reviewing the Braden Scale, the charted score for Friction & Shear is
"Potential problem." The Certified Wound Care Nurse (CWCN) assesses the
patient to be working with physical therapy and witnesses sliding from
