CWCN EXAM 1 QUESTIONS & ANSWERS
you are asked to see a patient in the nicu (38 weeks) with a skin tear on the foot. Your
plan of care would not include : - answer -applying a skin sealant to the periwound
A sacral pressure ulcer in a frail 80 year old man is covered with moist adherent eschar.
There is a moderate amount of foul smelling exudate. What is the best method to
debride the wound? - answer -apply gauze saturated with dakins and cover with a non-
adherent foam dressing twice daily
Large lower leg ulcer that is painful. Upturned wound edges with purplish hue. Wound
bed filled with hydrated eschar and highly exudative. Plan of care will not include: -
answer -aggressive sharp debridement
Bmi 38. Itchy papules and pustules on a red base with satellite lesions below armpits
and under the breasts. Dry, red, scaly plaques are on the flexor surface of arms and
scattered areas of abdomen. Taking immunosuppressants for ra. Which lab? - answer -
potassium hydroxide scraping: id's opportunistic topical fungal infection
Pt with dm with first metatarsal plantar foot ulcer that has been treated with santyl and
dry outer dressing. Pressure off-loading boot is getting too tight and foot hurts. What
finding would not be consistent with a localized wound infection? - answer -increase in
callus size surrounding the ulcer
Unstageable full thickness pressure ulcer. Febrile with leukocystosis shift to left. Wound
has significant periwound erythema. What do you advise? - answer -refer to surgeon
for surgical sharp debridement in the or (increasing signs of cellulitis and sepsis)
Review abi and recommend: - answer -a toe-brachial index measurement when the abi
is = 1.4
Medicare part b covering outpatient wound care: - answer -they will cover if deemed
medically necessary
Pt: 75m, lives at home, bmi 45, 2 large pi. One: left trochanter, one sacrum. Which bed
is best? - answer -low air loss mattress replacement
Abi = 0.4. Next step? - answer -recommend an immediate referral to a vascular
surgeon
62 year old woman presents with an abdominal incision healing by secondary intention.
Epibole along the entire wound margin. What's the best way to manage this condition? -
answer -silver nitrate sticks
you are asked to see a patient in the nicu (38 weeks) with a skin tear on the foot. Your
plan of care would not include : - answer -applying a skin sealant to the periwound
A sacral pressure ulcer in a frail 80 year old man is covered with moist adherent eschar.
There is a moderate amount of foul smelling exudate. What is the best method to
debride the wound? - answer -apply gauze saturated with dakins and cover with a non-
adherent foam dressing twice daily
Large lower leg ulcer that is painful. Upturned wound edges with purplish hue. Wound
bed filled with hydrated eschar and highly exudative. Plan of care will not include: -
answer -aggressive sharp debridement
Bmi 38. Itchy papules and pustules on a red base with satellite lesions below armpits
and under the breasts. Dry, red, scaly plaques are on the flexor surface of arms and
scattered areas of abdomen. Taking immunosuppressants for ra. Which lab? - answer -
potassium hydroxide scraping: id's opportunistic topical fungal infection
Pt with dm with first metatarsal plantar foot ulcer that has been treated with santyl and
dry outer dressing. Pressure off-loading boot is getting too tight and foot hurts. What
finding would not be consistent with a localized wound infection? - answer -increase in
callus size surrounding the ulcer
Unstageable full thickness pressure ulcer. Febrile with leukocystosis shift to left. Wound
has significant periwound erythema. What do you advise? - answer -refer to surgeon
for surgical sharp debridement in the or (increasing signs of cellulitis and sepsis)
Review abi and recommend: - answer -a toe-brachial index measurement when the abi
is = 1.4
Medicare part b covering outpatient wound care: - answer -they will cover if deemed
medically necessary
Pt: 75m, lives at home, bmi 45, 2 large pi. One: left trochanter, one sacrum. Which bed
is best? - answer -low air loss mattress replacement
Abi = 0.4. Next step? - answer -recommend an immediate referral to a vascular
surgeon
62 year old woman presents with an abdominal incision healing by secondary intention.
Epibole along the entire wound margin. What's the best way to manage this condition? -
answer -silver nitrate sticks
