SEM580 EXAM SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS RATED A+
✔✔Stool Odor Producers - ✔✔Legumes, baked beans, cruciferous vegetables (broccoli,
cabbage, bok choy, kale), eggs, garlic, onion, dairy foods, strong cheeses, cod liver oil,
some vitamins & minerals
✔✔Foods Increase Urine Odor - ✔✔Fish, asparagus, broccoli, brussel sprouts,
fenugreek, curry, garlic, beer, coffee, B6 vitamins, some antibiotics
✔✔Foods the Cause Urine Discoloration - ✔✔Pink, red, to brown: beets, fave beans,
rhubarb, blackberries; Foods/fluids with dyes, neon yellow or green: B vitamins; Dark
brown: Metronidazole, nitrofurantoin, senna; Greenish-blue: Sulfonamides; Orange to
red: Phenazopyridine, rifampin, doxorubicin
✔✔Urine Odor Reducers - ✔✔Adequate fluids, Cranberry juice, vitamin C
✔✔Stool Odor Reducers - ✔✔Yogurt, buttermilk, parsley, cranberry juice, adequate
flulids
✔✔Identify your role, as an entry level, bachelor's prepared WOC Nurse Specialist, in
nutritional assessment and support for patients at risk or with wounds. Distinguish
individuals who are at risk or demonstrate signs of nutritional compromise that will
prompt a referral for a more in-depth nutritional assessment. Be sure to include who is
at a higher risk for pressure injury depending upon BMI. - ✔✔5% loss in body weight in
1 month; 10% loss in body weight in 6 months. Patient's with a lower BMI (<22) maybe
at higher risk for PIs; Patients with higher BMI may have nutritional deficits. Patients
with Chronic Kidney Disease (III/IV) need RDN consultation for calorie and protein
recommendations.
✔✔Application of content from this presentation would lead you to recognize the
Decision-Maker Customer will be MOST interested in what aspect regarding the WOC
Nurse Specialty role? - ✔✔Your education & credential
✔✔Marketing - ✔✔The process of planning and executing the conception, pricing,
promotion, and distribution of ideas, goods, and services to create exchanges that
satisfy individual and organizational objectives.
✔✔Decision Maker - ✔✔Individuals who hire or budget your position. They are
responsible to have properly educated and credentialed providers working in their
facilities.
✔✔Influencer - ✔✔Indirect customers who care primarily about quality care, patient care
and costs.
, ✔✔End-User - ✔✔An individual who will use the WOC product or service (i.e., patient,
family, audience of an education program, or training program)
✔✔WOC Products & Services - ✔✔Delivery of specialized set of knowledge, skills,
and/or provisions to optimize wound, ostomy, continence related outcomes.
✔✔Systems Thinking - ✔✔Engaging in facility wide activities to promote safe, patient-
centered, evidence-based and cost-effective care (i.e. metric development for quality
outcomes, advocacy for WOC supply reimbursement)
✔✔Wound Products & Services - ✔✔Perform risk assessment, implement prevention
strategies, provide simple-complex ulcer treatment modalities, application of chemical
cauterization to hypergranulation
✔✔Ostomy Products & Services - ✔✔Select stoma site prior to surgery, selection and fit
pouching system and accessories, treat stoma and peristomal skin complications,
education patient/family on signs and symptoms to report regarding an ileostomy
✔✔Continence Products & Services - ✔✔Implement measures to identify & prevent
incontinence associated dermatitis, address reversible cause of urinary or fecal
incontinence, implement the use of toileting programs, obtain a 3-day bladder dairy
✔✔Systems Thinking Products & Services - ✔✔Staff education to promote quality,
effective and safe care or practice; Complication prevention to reduce readmissions;
Establish standards for documentation; Develop formularies for supply management
✔✔MARSI Interventions - ✔✔Cleanse skin with pH balanced soap, Remove excessive
hair with surgical clippers, apply no-sting liquid skin barrier prior to adhesive application
& let dry, use adhesive removers for aggressive adhesive or residue, remove
transparent dressings with a stretch and release technique, apply firm and gentle
pressure without tension, secure with dressings with tubular elastic netting or
conforming gauze wrap
✔✔Treatment of ISTAP Type 3 Skin Tear - ✔✔Absorbent dressings with low adhesive
and high moisture vapor transmission rate
✔✔Skin Tear Maintain Skin Health Methods - ✔✔Identify frail skin, skin tear history,
potential injury from pets, reassess as condition changes, no-rinse pH balanced skin
cleanser, tepid water, moisturizers BID to reduce dry skin (especially after bathing),
keep nails clipped, remove sharp jewelry (patient & caregiver), safe measures for
adhesive use/removal, consider silicone adhesive, use adhesive alternatives
✔✔You have an elderly patient with a stage 4 sacral PI (POA) admitted to the hospital
for pneumonia. The care center reports a 10lb. weight loss in the last month with current
ANSWERS RATED A+
✔✔Stool Odor Producers - ✔✔Legumes, baked beans, cruciferous vegetables (broccoli,
cabbage, bok choy, kale), eggs, garlic, onion, dairy foods, strong cheeses, cod liver oil,
some vitamins & minerals
✔✔Foods Increase Urine Odor - ✔✔Fish, asparagus, broccoli, brussel sprouts,
fenugreek, curry, garlic, beer, coffee, B6 vitamins, some antibiotics
✔✔Foods the Cause Urine Discoloration - ✔✔Pink, red, to brown: beets, fave beans,
rhubarb, blackberries; Foods/fluids with dyes, neon yellow or green: B vitamins; Dark
brown: Metronidazole, nitrofurantoin, senna; Greenish-blue: Sulfonamides; Orange to
red: Phenazopyridine, rifampin, doxorubicin
✔✔Urine Odor Reducers - ✔✔Adequate fluids, Cranberry juice, vitamin C
✔✔Stool Odor Reducers - ✔✔Yogurt, buttermilk, parsley, cranberry juice, adequate
flulids
✔✔Identify your role, as an entry level, bachelor's prepared WOC Nurse Specialist, in
nutritional assessment and support for patients at risk or with wounds. Distinguish
individuals who are at risk or demonstrate signs of nutritional compromise that will
prompt a referral for a more in-depth nutritional assessment. Be sure to include who is
at a higher risk for pressure injury depending upon BMI. - ✔✔5% loss in body weight in
1 month; 10% loss in body weight in 6 months. Patient's with a lower BMI (<22) maybe
at higher risk for PIs; Patients with higher BMI may have nutritional deficits. Patients
with Chronic Kidney Disease (III/IV) need RDN consultation for calorie and protein
recommendations.
✔✔Application of content from this presentation would lead you to recognize the
Decision-Maker Customer will be MOST interested in what aspect regarding the WOC
Nurse Specialty role? - ✔✔Your education & credential
✔✔Marketing - ✔✔The process of planning and executing the conception, pricing,
promotion, and distribution of ideas, goods, and services to create exchanges that
satisfy individual and organizational objectives.
✔✔Decision Maker - ✔✔Individuals who hire or budget your position. They are
responsible to have properly educated and credentialed providers working in their
facilities.
✔✔Influencer - ✔✔Indirect customers who care primarily about quality care, patient care
and costs.
, ✔✔End-User - ✔✔An individual who will use the WOC product or service (i.e., patient,
family, audience of an education program, or training program)
✔✔WOC Products & Services - ✔✔Delivery of specialized set of knowledge, skills,
and/or provisions to optimize wound, ostomy, continence related outcomes.
✔✔Systems Thinking - ✔✔Engaging in facility wide activities to promote safe, patient-
centered, evidence-based and cost-effective care (i.e. metric development for quality
outcomes, advocacy for WOC supply reimbursement)
✔✔Wound Products & Services - ✔✔Perform risk assessment, implement prevention
strategies, provide simple-complex ulcer treatment modalities, application of chemical
cauterization to hypergranulation
✔✔Ostomy Products & Services - ✔✔Select stoma site prior to surgery, selection and fit
pouching system and accessories, treat stoma and peristomal skin complications,
education patient/family on signs and symptoms to report regarding an ileostomy
✔✔Continence Products & Services - ✔✔Implement measures to identify & prevent
incontinence associated dermatitis, address reversible cause of urinary or fecal
incontinence, implement the use of toileting programs, obtain a 3-day bladder dairy
✔✔Systems Thinking Products & Services - ✔✔Staff education to promote quality,
effective and safe care or practice; Complication prevention to reduce readmissions;
Establish standards for documentation; Develop formularies for supply management
✔✔MARSI Interventions - ✔✔Cleanse skin with pH balanced soap, Remove excessive
hair with surgical clippers, apply no-sting liquid skin barrier prior to adhesive application
& let dry, use adhesive removers for aggressive adhesive or residue, remove
transparent dressings with a stretch and release technique, apply firm and gentle
pressure without tension, secure with dressings with tubular elastic netting or
conforming gauze wrap
✔✔Treatment of ISTAP Type 3 Skin Tear - ✔✔Absorbent dressings with low adhesive
and high moisture vapor transmission rate
✔✔Skin Tear Maintain Skin Health Methods - ✔✔Identify frail skin, skin tear history,
potential injury from pets, reassess as condition changes, no-rinse pH balanced skin
cleanser, tepid water, moisturizers BID to reduce dry skin (especially after bathing),
keep nails clipped, remove sharp jewelry (patient & caregiver), safe measures for
adhesive use/removal, consider silicone adhesive, use adhesive alternatives
✔✔You have an elderly patient with a stage 4 sacral PI (POA) admitted to the hospital
for pneumonia. The care center reports a 10lb. weight loss in the last month with current
