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Exam (elaborations)

WEB WOC Seminars: Quiz Questions and Answers Graded A+

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Which of the following statements accurately reflects the history of the WOC Nursing Specialty? a. The origin of the specialty began with a nurse who recognized the unmet needs of patients with ostomies. b. The first education programs were 8 weeks long and required the learner be in residence during that period. c. Patient consumers began the specialty. d. The first education programs had no precepted clinical practicum. - ANSWER -c. Patient consumers began the specialty. An ESSENTIAL component of a WOC Nursing Practice is: a. Establishing an outcomes program to measure results of care. b. Implements, coordinates, and evaluates specialty care. c. Establishing a clinic for outpatient follow-up. d. Billing for services provided. - ANSWER -b. Implements, coordinates, and evaluates specialty care. A certificate of completion is issued upon successful completion of a Program. Certification in WOC Nursing is a

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WEB WOC Seminars: Quiz Questions and Answers
Graded A+
Which of the following statements accurately Nursing Certification Board)
reflects the history of the WOC Nursing
Specialty?

a. The origin of the specialty began with a nurse When a learner graduates from a WOCN®
who recognized the unmet needs of patients with accredited nursing education program (i.e. WEB
ostomies. WOC), and successfully passes all scopes of
b. The first education programs were 8 weeks practice certification exams from the WOCNCB,
long and required the learner be in residence the correct abbreviation for the specialist is?
during that period.
c. Patient consumers began the specialty. a. WOCN
d. The first education programs had no b. CWOCN
precepted clinical practicum. - ANSWER -c. c. WOC nurse
Patient consumers began the specialty. d. SWA - ANSWER -b. CWOCN



An ESSENTIAL component of a WOC Nursing Trends in WOC Nursing Care include which of
Practice is: the following:

a. Establishing an outcomes program to measure a. Developing additional systems for billing
results of care. services and generating revenue
b. Implements, coordinates, and evaluates b. Identifying cost savings in products and
specialty care. equipment use
c. Establishing a clinic for outpatient follow-up. c. Recognizing market opportunities and
d. Billing for services provided. - promoting those services
ANSWER -b. Implements, coordinates, and d. Safety in patient care, access, and outcomes
evaluates specialty care. research - ANSWER -a. Developing
additional systems for billing services and
generating revenue

A certificate of completion is issued upon
successful completion of a Program. Certification
in WOC Nursing is accomplished once the The highest level of evidence comes from which
learner has passed exams given by the: of the following sources?

a. NAWCO® (National Alliance of Wound Care a. Expert opinion.
and Ostomy) b. Case studies.
b. WOCN® (Wound Ostomy Continence Nurses c. Prospective studies.
Society) d. Randomized clinical trials. - ANSWER -d.
c. ANA® (American Nurses Association) Randomized clinical trials.
d. WOCNCB® (Wound Ostomy Continence
Nursing Certification Board) - ANSWER -d.
WOCNCB® (Wound Ostomy Continence


,WEB WOC Seminars: Quiz Questions and Answers
Graded A+
Which of the following statements about Clinical b. Increases TEWL (trans-epidermal water loss)
Practice Guidelines is TRUE? c. Retards growth of skin pathogens
d. Promotes skin elasticity - ANSWER -c.
a. These are basically recommendations for care Retards growth of skin pathogens
of a specific condition based on expert opinion.
b. The literature from which the Clinical
guidelines are derived should be reviewed prior
to incorporating the guidelines into patient care. How does age alter the skin's epidermal turnover
c. To avoid the appearance of self-interest, the or process of differentiation?
national government authors all clinical practice
guidelines. a. Prolongs the rate of cell turnover (>28 days)
d. Clinical guidelines are derived from the current b. Reduces the rate of cell turnover (<28 days)
literature and summarize state of the art care for c. Doesn't affect the rate of cell turnover
specific healthcare issues. - ANSWER -d. d. Accelerates turnover to 5 days or less -
Clinical guidelines are derived from the current ANSWER -a. Prolongs the rate of cell
literature and summarize state of the art care for turnover (>28 days)
specific healthcare issues.


Which cells located in the dermis produce
What are the major layers of the skin? collagen (dermal building blocks) and elastin
(tensile strength)?
a. Hypodermis & muscle
b. Epidermis & dermis a. Leukotrienes
c. Keratinocytes & fibroblasts b. Mast cells
d. Macrophages & platelets - ANSWER -b. c. Macrophages
Epidermis & dermis d. Fibroblasts - ANSWER -d. Fibroblasts



What is the primary function of intact skin? Structures of the dermis include:

a. Protective barrier a. Collagen, melanocytes, keratinocytes, & sweat
b. Enhance body image (sebaceous) glands
c. Communication b. Fat, vasculature, hair follicles, & melanocytes
d. Vitamin D synthesis - ANSWER -a. c. Connective tissue, fat, keratinocytes, & elastin
Protective barrier proteins
d. Collagen, elastin proteins, hair follicles, sweat
(sebaceous) glands - ANSWER -d.
Collagen, elastin proteins, hair follicles, sweat
What is the benefit in the skin maintaining an (sebaceous) glands
acid mantle (pH 4.5-6.5)?

a. Promotes skin hydration


, WEB WOC Seminars: Quiz Questions and Answers
Graded A+
The functions of the hypodermis (subcutaneous while cleansing the skin with soap and water
tissue) include: c. Skin damage due to radiation dermatitis
d. Skin damage due to infiltration of medication -
a. Cushions, insulates and protects against ANSWER -a. Skin damage caused by
invading infection prolonged exposure to various sources of
b. Insulates, contributes to the sense of touch, moisture
and provides color
c. Cushions, insulates and adds to the mobility of
the skin over underlying structures
d. Provides elasticity to the skin, protects from MASD (Moisture Associated Skin Damage)
UV ray damage, and provides cushion - affects what part of the skin or cell function?
ANSWER -c. Cushions, insulates and adds
to the mobility of the skin over underlying a. Epidermis and/or dermis
structures b. Subcutaneous tissue
c. Fibroblasts
d. Macrophages - ANSWER -a. Epidermis
and/or dermis
Which layer of soft tissue is most vulnerable to
pressure over a bony prominence?

a. Hypodermis How does MASD alter the acid mantle of the
b. Subcutaneous skin?
c. Dermis
d. Muscle - ANSWER -d. Muscle a. Reduces TEWL (trans-epidermal water loss)
b. Increases TEWL (trans-epidermal water loss)
c. Moisture dehydrates the skin
d. Moisture promotes barrier function -
Diabetes causes increased risk for skin: ANSWER -b. Increases TEWL (trans-
epidermal water loss)
a. Bacterial and fungal infections
b. Itching and increased blood flow
c. Overhydration and reduced epidermal turnover
time What is the primary risk factor associated with
d. Sweating and decreased folliculitis - ITD (intertriginous dermatitis)?
ANSWER -a. Bacterial and fungal
infections a. Obesity
b. Pouching system leakage
c. Large amount of wound exudate
d. Urinary incontinence - ANSWER -a.
What is the definition of MASD? Obesity

a. Skin damage caused by prolonged exposure
to various sources of moisture
b. Skin damage that is due to stripping action What is the primary risk factor associated with

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