WOCN FINAL EXAM QUESTIONS WITH 100%
VERIFIED ANSWERS
Routine Skin care should be designed to keep the skin: - ✔✔Supple, dry, and acidic
Which of the following is MOST important in providing perineal care following
incontinence? - ✔✔Gentle technique and use of a no-rinse cleanser
Which of the following wound be BEST approach to management of a skin tear with no
remaining flap and a moderate amount of drainage? - ✔✔Non-adherent silicone adhesive
contact layer, dry gauze, and roll gauze; changed daily
Which is the BEST approach for prevention of heel pressure injuries? - ✔✔ Keeping the
heels of the bed (float)
Which of the following is MOST accurate?
a. Patients who are on air mattress do not require turning
b. Patient on air mattress should be turned q2
c. Pts on air mattress should be turned q6
d. all pts must be turned q1-2 regardless of the surface they are on - ✔✔B. Patient on air
mattress should be turned q2
Explain the pathology of pressure injuries - ✔✔ PI usually begin at the muscle because it
is the most metabolically active layer
What is the most effective in reducing shear force for a patient who require HOB
elevation? - ✔✔Using a silicone adhesive foam sacral dressing
Which of the following patients is at GREATEST risk for pressure injury development
according to the Braden Scale?
a. 78-year old female; 1-day post op right knee replacement
, b. 68-year old male; 1-day post myocardial infarction
c. 44-year old female with morbid obesity admitted for a gastric banding
d. 28-year old male quadriplegic admitted for a severe urinary tract infection and sepsis -
✔✔D. 28-year old male quadriplegic admitted for a severe urinary tract infection and
sepsis
Which of the following is the MOST significant indicator of nutritional compromise
limiting the ability to heal?
a. Current weight is 90% of Ideal Body Weight
b. Recent unplanned weight loss (10% of body weight)
c. Prealbumin of 12.8 mg/dL in a patient who is septic
d. Incisional dehiscence - ✔✔b. Recent unplanned weight loss (10% of body weight)
Which of the following is essential for wound healing?
a. Adequate perfusion and oxygenation
b. Glucose levels under 120 mg/dL
c. Glutamine and L-arginine supplementation
d. Prealbumin of at least 16 mg/dL - ✔✔a. Adequate perfusion and oxygenation
Which of the following BEST describes the effects of hyperglycemia on wound healing?
a. Increased risk of hypertrophic scarring with diminished tensile strength
b. Increased risk of infection; impaired collagen synthesis
c. No impact on healing of superficial wounds but major interference with healing of deep
(full-thickness) wounds
d. Increased time required for collagen synthesis; no change in tensile strength - ✔✔b.
Increased risk of infection; impaired collagen synthesis
Use of tobacco is discouraged for any patient with an open wound. This is because:
a. Nicotine adversely affects fibroblast function and epithelial resurfacing
VERIFIED ANSWERS
Routine Skin care should be designed to keep the skin: - ✔✔Supple, dry, and acidic
Which of the following is MOST important in providing perineal care following
incontinence? - ✔✔Gentle technique and use of a no-rinse cleanser
Which of the following wound be BEST approach to management of a skin tear with no
remaining flap and a moderate amount of drainage? - ✔✔Non-adherent silicone adhesive
contact layer, dry gauze, and roll gauze; changed daily
Which is the BEST approach for prevention of heel pressure injuries? - ✔✔ Keeping the
heels of the bed (float)
Which of the following is MOST accurate?
a. Patients who are on air mattress do not require turning
b. Patient on air mattress should be turned q2
c. Pts on air mattress should be turned q6
d. all pts must be turned q1-2 regardless of the surface they are on - ✔✔B. Patient on air
mattress should be turned q2
Explain the pathology of pressure injuries - ✔✔ PI usually begin at the muscle because it
is the most metabolically active layer
What is the most effective in reducing shear force for a patient who require HOB
elevation? - ✔✔Using a silicone adhesive foam sacral dressing
Which of the following patients is at GREATEST risk for pressure injury development
according to the Braden Scale?
a. 78-year old female; 1-day post op right knee replacement
, b. 68-year old male; 1-day post myocardial infarction
c. 44-year old female with morbid obesity admitted for a gastric banding
d. 28-year old male quadriplegic admitted for a severe urinary tract infection and sepsis -
✔✔D. 28-year old male quadriplegic admitted for a severe urinary tract infection and
sepsis
Which of the following is the MOST significant indicator of nutritional compromise
limiting the ability to heal?
a. Current weight is 90% of Ideal Body Weight
b. Recent unplanned weight loss (10% of body weight)
c. Prealbumin of 12.8 mg/dL in a patient who is septic
d. Incisional dehiscence - ✔✔b. Recent unplanned weight loss (10% of body weight)
Which of the following is essential for wound healing?
a. Adequate perfusion and oxygenation
b. Glucose levels under 120 mg/dL
c. Glutamine and L-arginine supplementation
d. Prealbumin of at least 16 mg/dL - ✔✔a. Adequate perfusion and oxygenation
Which of the following BEST describes the effects of hyperglycemia on wound healing?
a. Increased risk of hypertrophic scarring with diminished tensile strength
b. Increased risk of infection; impaired collagen synthesis
c. No impact on healing of superficial wounds but major interference with healing of deep
(full-thickness) wounds
d. Increased time required for collagen synthesis; no change in tensile strength - ✔✔b.
Increased risk of infection; impaired collagen synthesis
Use of tobacco is discouraged for any patient with an open wound. This is because:
a. Nicotine adversely affects fibroblast function and epithelial resurfacing
