CWCN-AP Study Set: Questions With Correct Solutions
A Male elderly patinet has been treated at the wound care center for the past 4
months. his last appointment was 2 weeks ago for a non-healing toe ulcer.
Upon completing a focused follow up assessmetn the CWCN-AP decides to
update his review of systems to determine if there are any factors affecting
wo8und healing that were not acconted for on the initial history and physical.
which one of these findings on the review of systems may affect the patient's
ability to absorb nutrients? Right Ans - Crohn's disease
A Quadriplegic patient is admitted with a sacral pressure injury. You consult
the surgery service because you believe this patient needs to go to the OR
emergently for surgical debridmetn. Which of the following assessment
findings impacted your decision to consult surgery service? Right Ans -
Base of wound covered with brown and yellow tissue that is quite spongy to
palpation, surrounding erythem extends about 4.0 cm
During the gathering of a health history of a 68 year old, obese female with a
weeping wound on her lower leg, the CWCN-AP asks about allergy history.
The patient states she is allergic to some antibiotics but she is not sure which
ones. the NP knows they must find out the specific antibiotic the patinet has
allergy to because: Right Ans - there are a number of potientional allergin
in topical antibiotics.
The NP is caring for a patient with delayed wound healing. the patient has
been observed to have recent weight loss. the CWCN_AP suspects malnutrition
as the reason the patients wound is not healing. which lab work would best
eval the patinets nutrition ? Right Ans - Albumin, prealbumin, Nutritional
aneamia profile, and metabolic profile.
A79 year old female is new to the outpatient wound clinic. during the initial
interveiw the np finds out the patient has a history of leg ulcers. the np asks
have you ever used prescription grade compression stockings on your legs?
The answer to the question will assist the NP to : Right Ans - Assess the
patients response to prior treatment
The Hospital skin care team is conductiong the monthly pressue injury
prevalence survey. The team member calls the NP to assess a newly found
wound on the right inner nare of a neonate. upon inspection of the area an
, 8mm circular shallow ulcer is adjacent to the feeding tube. The NP write a
consult note with diagnosis of Right Ans - Medical device related pressure
injury
When asking questions about family history , a patient discloses they are
adopted. the NP asks if any info is known about the biological family
background. the patient reports the only infor that is known is about a half-
sibling. NP responds by : Right Ans - asking questions about the known
medical history of half-sibling
The NP makes a diagnosis of acute charcot foot in the dissolution phase based
on Eichenholtz classification and the NP makes the patient non-weight
bearing to his foot . The physical exam would include: Right Ans - unilateral
swelling /edema, erythma, 1 - degreee C increase in temp to affected foot as
compareted to unaffected foot and xray demonstrates no acute processes.
A patient with a non-healing lower extremity wound diagnosed with critical
limb ischemia (CLI) would have transcutaneoous oxygen tension (TcPO2) of :
Right Ans - 27 mmHg
NP is meeting with a new patinet at a skilled nursing facility. the patinets
presents with vascular leg ulcer that is chronic. upon obtaining the review of
systems , the patinet reports a history of myocardial infarction and heart
failure. this impacts the patients care because: Right Ans - Wound healing
is a systemic phenomenon and cardiac events my affect tissue perfusion
When taking a patients history the NP knows that the patinet with severe
cognitive impairments should have their pain assessed with : Right Ans -
Observational Tool
The Np is directing care for a 70 year old male at home. The patient is under
hospice care for end stage COPD. the patient has significant orthopnea. He
remains in his own bed with bolsters and pillows to keep his head elevated for
easte of breathing. he is developing a red nonblanchable area of intact skin
over his sacrum. what is the first and most imporant order from the NP?
Right Ans - order hospital bed for the home with higher level of pressure
redistribution support surface
A Male elderly patinet has been treated at the wound care center for the past 4
months. his last appointment was 2 weeks ago for a non-healing toe ulcer.
Upon completing a focused follow up assessmetn the CWCN-AP decides to
update his review of systems to determine if there are any factors affecting
wo8und healing that were not acconted for on the initial history and physical.
which one of these findings on the review of systems may affect the patient's
ability to absorb nutrients? Right Ans - Crohn's disease
A Quadriplegic patient is admitted with a sacral pressure injury. You consult
the surgery service because you believe this patient needs to go to the OR
emergently for surgical debridmetn. Which of the following assessment
findings impacted your decision to consult surgery service? Right Ans -
Base of wound covered with brown and yellow tissue that is quite spongy to
palpation, surrounding erythem extends about 4.0 cm
During the gathering of a health history of a 68 year old, obese female with a
weeping wound on her lower leg, the CWCN-AP asks about allergy history.
The patient states she is allergic to some antibiotics but she is not sure which
ones. the NP knows they must find out the specific antibiotic the patinet has
allergy to because: Right Ans - there are a number of potientional allergin
in topical antibiotics.
The NP is caring for a patient with delayed wound healing. the patient has
been observed to have recent weight loss. the CWCN_AP suspects malnutrition
as the reason the patients wound is not healing. which lab work would best
eval the patinets nutrition ? Right Ans - Albumin, prealbumin, Nutritional
aneamia profile, and metabolic profile.
A79 year old female is new to the outpatient wound clinic. during the initial
interveiw the np finds out the patient has a history of leg ulcers. the np asks
have you ever used prescription grade compression stockings on your legs?
The answer to the question will assist the NP to : Right Ans - Assess the
patients response to prior treatment
The Hospital skin care team is conductiong the monthly pressue injury
prevalence survey. The team member calls the NP to assess a newly found
wound on the right inner nare of a neonate. upon inspection of the area an
, 8mm circular shallow ulcer is adjacent to the feeding tube. The NP write a
consult note with diagnosis of Right Ans - Medical device related pressure
injury
When asking questions about family history , a patient discloses they are
adopted. the NP asks if any info is known about the biological family
background. the patient reports the only infor that is known is about a half-
sibling. NP responds by : Right Ans - asking questions about the known
medical history of half-sibling
The NP makes a diagnosis of acute charcot foot in the dissolution phase based
on Eichenholtz classification and the NP makes the patient non-weight
bearing to his foot . The physical exam would include: Right Ans - unilateral
swelling /edema, erythma, 1 - degreee C increase in temp to affected foot as
compareted to unaffected foot and xray demonstrates no acute processes.
A patient with a non-healing lower extremity wound diagnosed with critical
limb ischemia (CLI) would have transcutaneoous oxygen tension (TcPO2) of :
Right Ans - 27 mmHg
NP is meeting with a new patinet at a skilled nursing facility. the patinets
presents with vascular leg ulcer that is chronic. upon obtaining the review of
systems , the patinet reports a history of myocardial infarction and heart
failure. this impacts the patients care because: Right Ans - Wound healing
is a systemic phenomenon and cardiac events my affect tissue perfusion
When taking a patients history the NP knows that the patinet with severe
cognitive impairments should have their pain assessed with : Right Ans -
Observational Tool
The Np is directing care for a 70 year old male at home. The patient is under
hospice care for end stage COPD. the patient has significant orthopnea. He
remains in his own bed with bolsters and pillows to keep his head elevated for
easte of breathing. he is developing a red nonblanchable area of intact skin
over his sacrum. what is the first and most imporant order from the NP?
Right Ans - order hospital bed for the home with higher level of pressure
redistribution support surface
