CWCN Final Exam - Questions & Precise Solutions
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? Right Ans - 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? Right Ans - Physical therapy for
wheelchair evaluation
A Certified Wound Care Nurse (CWCN) is consulted for a superficial foot
wound on a septic patient. Upon assessment there is a 0.5 cm. x 0.5 cm. wound
to the plantar surface with soft scabbing surrounded by callus. With cleansing
and assessing the CWCN reveals a 3 cm. depth with undermining of 3 cm.
circumferentially and copious malodorous purulent drainage. Distal foot has
increased warmth and erythema. What method of debridement should the
CWCN recommend? Right Ans - Surgical
When conducting a preliminary assessment of a patient's nutritional status,
which result indicates probable need for nutritional support? Right Ans -
Prealbumin of 10 mg/dL
Transferrin Right Ans - NV: 200-400 mg/dL
The Certified Wound Care Nurse (CWCN) is changing the dressing of an
elderly patient who has cognitive impairments. What is the MOST reliable way
to assess pain related to the wound? Right Ans - Observe the patient for
nonverbal behaviors such as grimacing
Prealbumin Right Ans - NV: 16-40 mg/dL
, Albumin Right Ans - NV: 3.5-5 mg/dL
A Certified Wound Care Nurse (CWCN) removes the dressing of a negative-
pressure wound therapy (NPWT) that was started 1 week ago on an
abdominal wound healing by secondary intention. The CWCN notices
significant wound contraction. What should the CWCN do next? Right Ans -
Continue NPWT
Medical-grade honey is considered a form of which type of wound
debridement? Right Ans - Autolytic
What is the MOST appropriate dressing for a shallow wound that is clean and
granulating with minimal exudate? Right Ans - Hydrocolloid
Which type of lower extremity wound contraindicates wound debridement?
Right Ans - Arterial wounds
What is the correct degree for a side-lying position to prevent pressure
injuries? Right Ans - 30 degrees
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
wheelchair to the bed with minimal assistance. Which factor makes the score
of "Potential Problem" a correct documentation for this patient? Right Ans
- Requiring minimal assistance
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? Right Ans - Use foam dressing on the wound
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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? Right Ans - 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? Right Ans - Physical therapy for
wheelchair evaluation
A Certified Wound Care Nurse (CWCN) is consulted for a superficial foot
wound on a septic patient. Upon assessment there is a 0.5 cm. x 0.5 cm. wound
to the plantar surface with soft scabbing surrounded by callus. With cleansing
and assessing the CWCN reveals a 3 cm. depth with undermining of 3 cm.
circumferentially and copious malodorous purulent drainage. Distal foot has
increased warmth and erythema. What method of debridement should the
CWCN recommend? Right Ans - Surgical
When conducting a preliminary assessment of a patient's nutritional status,
which result indicates probable need for nutritional support? Right Ans -
Prealbumin of 10 mg/dL
Transferrin Right Ans - NV: 200-400 mg/dL
The Certified Wound Care Nurse (CWCN) is changing the dressing of an
elderly patient who has cognitive impairments. What is the MOST reliable way
to assess pain related to the wound? Right Ans - Observe the patient for
nonverbal behaviors such as grimacing
Prealbumin Right Ans - NV: 16-40 mg/dL
, Albumin Right Ans - NV: 3.5-5 mg/dL
A Certified Wound Care Nurse (CWCN) removes the dressing of a negative-
pressure wound therapy (NPWT) that was started 1 week ago on an
abdominal wound healing by secondary intention. The CWCN notices
significant wound contraction. What should the CWCN do next? Right Ans -
Continue NPWT
Medical-grade honey is considered a form of which type of wound
debridement? Right Ans - Autolytic
What is the MOST appropriate dressing for a shallow wound that is clean and
granulating with minimal exudate? Right Ans - Hydrocolloid
Which type of lower extremity wound contraindicates wound debridement?
Right Ans - Arterial wounds
What is the correct degree for a side-lying position to prevent pressure
injuries? Right Ans - 30 degrees
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
wheelchair to the bed with minimal assistance. Which factor makes the score
of "Potential Problem" a correct documentation for this patient? Right Ans
- Requiring minimal assistance
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? Right Ans - 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 Right Ans -
