WOCN WOUND CARE RN EXAM 2026
WITH 100% ACCURATE ANSWERS
1. Contact layers are dressings used to
Protect wound bed from trauma
Protect periwound skin
Absorb exudate
Trap bacteria
2. In a patient with a confirmed diagnosis of candidiasis, which intervention
would be most appropriate to promote healing?
Increased protein intake
Topical antifungal treatment
Use of a pressure-relieving device
Application of a hydrocolloid dressing
3. What is the primary effect of Kenalog cream in wound care?
Reduces hyperplasia
Promotes granulation
Enhances collagen synthesis
Increases blood flow
4. Recommended protein intakes for patients at risk for malnutrition or
with existing pressure injuries who are assessed to be at risk for
malnutrition is:
1.25-1.5 g/kg body weight
> 2.0 g/kg body weight
, 1.0-1.2 g/kg body weight
1.5-1.7 g/kg body weight
5. What are the main phases involved in partial thickness wound repair?
Inflammatory response, granulation tissue formation, scarring
Epithelial migration, collagen synthesis, remodeling
Hemostasis, inflammatory response, proliferation, remodeling
Inflammatory response, epithelial proliferation and migration,
epidermal reestablishment and differentiation
6. If a patient requires analgesia for a wound dressing change, how would
you apply topical prilocaine/lidocaine to ensure maximum
effectiveness?
Apply it for 15 minutes without a wrap.
Apply it only after the dressing change.
Apply it under a nonadherent transparent wrap for 30-60
minutes before the procedure.
Apply it directly to the wound without a wrap.
7. In a patient with a wound that has entered a prolonged inflammatory
phase, what type of scar might you expect to develop, and why?
Keloid scar due to rapid healing
Normal scar due to proper healing processes
Hypertrophic scar due to excessive collagen production during
prolonged inflammation
Atrophic scar due to lack of collagen
8. What should be included in a nutrition prescription for physiologic
, trauma related to injury?
1.5-2.0 grams protein/kg body weight
Vitamin K for blood clotting
IV insulin infusion
Increased calorie needs (BMR x 1.5-2)
9. Describe the differences between Grade 1 and Grade 2 radiation
dermatitis.
Grade 1 has moderate edema, while Grade 2 has severe pain.
Grade 1 is more severe than Grade 2.
Grade 1 is characterized by dry desquamation, while Grade 2
includes erythema and moist desquamation.
Grade 1 involves bleeding skin, whereas Grade 2 has no
symptoms.
10. Describe how protein intake influences the wound healing process.
Protein intake only affects muscle growth, not wound healing.
Protein intake has no significant effect on wound healing.
Protein intake is crucial for tissue repair and regeneration
during wound healing.
Protein intake can worsen inflammation in wounds.
11. Describe the conditions that lead to the development of intertrigo.
Intertrigo develops due to the maceration of skin folds caused
by heat, friction, and moisture.
Intertrigo is caused by a lack of protein in the diet.
Intertrigo occurs when the skin is exposed to cold temperatures.
, Intertrigo is a result of excessive sun exposure.
12. What three factors are evaluated by the PUSH Tool in assessing
pressure ulcer healing?
Location, age, and size
Depth, infection, and pain
Size, exudate, and tissue type
Color, odor, and moisture
13. Describe how prealbumin levels can influence the assessment of a
patient's nutritional status in wound care.
Prealbumin levels are irrelevant to wound care assessments.
Prealbumin levels always indicate adequate nutrition and
healing.
Prealbumin levels are the only factor to consider in wound
healing.
Prealbumin levels can appear normal even when a patient is
malnourished, making it a less reliable indicator of nutritional
status.
14. In a patient with a chronic wound exhibiting signs of hyperplasia, which
treatment would be most appropriate to incorporate into their care
plan?
Moisture-retentive dressing
Kenalog cream
Antibiotic ointment
Hydrogel dressing
15. The WOC nurse is preparing a teaching plan for prevention and
WITH 100% ACCURATE ANSWERS
1. Contact layers are dressings used to
Protect wound bed from trauma
Protect periwound skin
Absorb exudate
Trap bacteria
2. In a patient with a confirmed diagnosis of candidiasis, which intervention
would be most appropriate to promote healing?
Increased protein intake
Topical antifungal treatment
Use of a pressure-relieving device
Application of a hydrocolloid dressing
3. What is the primary effect of Kenalog cream in wound care?
Reduces hyperplasia
Promotes granulation
Enhances collagen synthesis
Increases blood flow
4. Recommended protein intakes for patients at risk for malnutrition or
with existing pressure injuries who are assessed to be at risk for
malnutrition is:
1.25-1.5 g/kg body weight
> 2.0 g/kg body weight
, 1.0-1.2 g/kg body weight
1.5-1.7 g/kg body weight
5. What are the main phases involved in partial thickness wound repair?
Inflammatory response, granulation tissue formation, scarring
Epithelial migration, collagen synthesis, remodeling
Hemostasis, inflammatory response, proliferation, remodeling
Inflammatory response, epithelial proliferation and migration,
epidermal reestablishment and differentiation
6. If a patient requires analgesia for a wound dressing change, how would
you apply topical prilocaine/lidocaine to ensure maximum
effectiveness?
Apply it for 15 minutes without a wrap.
Apply it only after the dressing change.
Apply it under a nonadherent transparent wrap for 30-60
minutes before the procedure.
Apply it directly to the wound without a wrap.
7. In a patient with a wound that has entered a prolonged inflammatory
phase, what type of scar might you expect to develop, and why?
Keloid scar due to rapid healing
Normal scar due to proper healing processes
Hypertrophic scar due to excessive collagen production during
prolonged inflammation
Atrophic scar due to lack of collagen
8. What should be included in a nutrition prescription for physiologic
, trauma related to injury?
1.5-2.0 grams protein/kg body weight
Vitamin K for blood clotting
IV insulin infusion
Increased calorie needs (BMR x 1.5-2)
9. Describe the differences between Grade 1 and Grade 2 radiation
dermatitis.
Grade 1 has moderate edema, while Grade 2 has severe pain.
Grade 1 is more severe than Grade 2.
Grade 1 is characterized by dry desquamation, while Grade 2
includes erythema and moist desquamation.
Grade 1 involves bleeding skin, whereas Grade 2 has no
symptoms.
10. Describe how protein intake influences the wound healing process.
Protein intake only affects muscle growth, not wound healing.
Protein intake has no significant effect on wound healing.
Protein intake is crucial for tissue repair and regeneration
during wound healing.
Protein intake can worsen inflammation in wounds.
11. Describe the conditions that lead to the development of intertrigo.
Intertrigo develops due to the maceration of skin folds caused
by heat, friction, and moisture.
Intertrigo is caused by a lack of protein in the diet.
Intertrigo occurs when the skin is exposed to cold temperatures.
, Intertrigo is a result of excessive sun exposure.
12. What three factors are evaluated by the PUSH Tool in assessing
pressure ulcer healing?
Location, age, and size
Depth, infection, and pain
Size, exudate, and tissue type
Color, odor, and moisture
13. Describe how prealbumin levels can influence the assessment of a
patient's nutritional status in wound care.
Prealbumin levels are irrelevant to wound care assessments.
Prealbumin levels always indicate adequate nutrition and
healing.
Prealbumin levels are the only factor to consider in wound
healing.
Prealbumin levels can appear normal even when a patient is
malnourished, making it a less reliable indicator of nutritional
status.
14. In a patient with a chronic wound exhibiting signs of hyperplasia, which
treatment would be most appropriate to incorporate into their care
plan?
Moisture-retentive dressing
Kenalog cream
Antibiotic ointment
Hydrogel dressing
15. The WOC nurse is preparing a teaching plan for prevention and
