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CWOCN : WOCNCB Certified Wound Ostomy Continence Nurse Exam

Nursing CWOCN Questions & Answers

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WOCNCB Certified Wound Ostomy Continence Nurse


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Question: 1


Which of the following is an indication for surgical debridement?


  1. Dry, eschar-covered wound

  2. Stable, well-vascularized wound bed

  3. Minimal necrotic tissue present


    wer: D


    anation: Suspected osteomyelitis is an indication for surgical debride ical debridement is often necessary when there is deep-seated infectio as osteomyelitis or deep tissue infection, where removal of infected ti quired for effective treatment. A dry, eschar-covered wound may bene other forms of debridement, such as autolytic or enzymatic, to promo kdown of the eschar. A stable, well-vascularized wound bed with mini otic tissue may not require surgical debridement.


    stion: 2


    ch of the following interventions is most appropriate for managing a opathic foot ulcer in a patient with diabetes?


    ffloading with total contact casting yperbaric oxygen therapy

    Suspected osteomyelitis Ans

Expl ment.

Surg n,

such ssue

is re fit

from te the

brea mal

necr


Que


Whi neur


  1. O

  2. H

  3. Callus reduction

  4. Chemical cauterization Answer: A

Explanation: Offloading with total contact casting is the most appropriate intervention for managing a neuropathic foot ulcer in a patient with diabetes.


stion: 3

ch of the following is an indication for debridement? ealthy granulation tissue

ecrotic tissue with no signs of infection inimal exudate and intact epithelium

ound showing signs of early epithelialization wer: B

anation: Necrotic tissue with no signs of infection is an indication for dement. Debridement is the process of removing non-viable tissue fro nd to promote healing. Necrotic tissue can impair wound healing and s otential source of infection. Debridement helps create a clean wound wing for the growth of healthy granulation tissue. Healthy granulation e, minimal exudate with intact epithelium, and a wound showing sign

Total contact casting helps distribute weight evenly across the foot, reducing pressure on the ulcer and promoting healing. It also provides immobilization and protection to the foot, allowing for optimal wound healing. Hyperbaric oxygen therapy is commonly used for specific indications such as non-healing diabetic foot ulcers with evidence of ischemia or infection. Callus reduction is important for preventing the formation of new ulcers but may not directly address the management of an existing ulcer. Chemical cauterization is not typically used for neuropathic foot ulcers.


Que


Whi


  1. H

  2. N

  3. M

  4. W

Ans Expl

debri m a

wou erve

as a p bed,

allo

tissu s of

early epithelialization do not require debridement, as they indicate a progressing healing process.


Question: 4


Which of the following factors can affect wound healing?

  1. Environmental temperature

  2. Gender

  3. Blood type

  4. Medications Answer: D

rticosteroids and immunosuppressants, can impair the normal healing ess by suppressing the immune response or inhibiting collagen synthe factors, such as nutrition, comorbidities, age, and pain, can also infl nd healing. Environmental temperature, gender, and blood type do not

ect impact on the wound healing process.


stion: 5

ch of the following is a type of compression therapy? ynamic compression therapy

yperbaric compression therapy atic compression therapy hemical compression therapy


wer: C


anation: Static compression therapy is a type of compression therapy u

Explanation: Medications can affect wound healing. Certain medications, such as co

proc sis.

Other uence

wou have

a dir Que Whi

  1. D

  2. H

  3. St

  4. C


Ans


Expl sed

in wound care. Static compression involves the application of a constant, evenly distributed pressure to the affected area using bandages or compression garments. It helps improve venous return, reduce edema, and promote wound healing. Dynamic compression therapy, hyperbaric compression therapy, and chemical compression therapy are not recognized types of compression therapy.

Which of the following is an example of a biologic debridement modality?


  1. Autolytic debridement

  2. Surgical debridement

  3. Mechanical debridement


    anation: Enzymatic debridement is an example of a biologic debridem ality. Enzymatic debridement involves the application of topical agent ain enzymes to selectively break down and remove necrotic tissue. lytic debridement relies on the body's own enzymes and moisture to b

    necrotic tissue. Surgical debridement is a manual removal of necroti

    e. Mechanical debridement involves the use of physical force or irriga move necrotic tissue.


    stion: 6

    ch of the following is a contraindication for compression therapy? enous insufficiency

    rterial insufficiency ymphedema

    iabetic foot ulcer

    Enzymatic debridement Answer: D

Expl ent

mod s that

cont

Auto reak

down c

tissu tion

to re Que Whi

  1. V

  2. A

  3. L

  4. D


Answer: B


Explanation: Arterial insufficiency is a contraindication for compression therapy. Compression therapy involves applying external pressure to the affected area to improve venous return and reduce edema. However, in arterial insufficiency, the blood flow to the affected area is already compromised. Applying compression in this situation can further impede arterial blood flow,

leading to tissue ischemia and potential complications. Venous insufficiency, lymphedema, and diabetic foot ulcers are conditions where compression therapy is commonly indicated to manage edema and promote wound healing.


Question: 7


Which of the following is a primary goal of wound bed preparation?


oisture balance eriwound skin protection ead space filling

ound edge optimization wer: D

anation: The primary goal of wound bed preparation is wound edge mization. Wound edge optimization involves creating an environment motes healing by removing non-viable tissue, controlling exudate, and

cting the periwound skin. It aims to establish a healthy wound edge t ort epithelialization and wound closure. While moisture balance, wound skin protection, and dead space filling are important aspects of nd care, wound edge optimization takes precedence in ensuring proper nd healing.


stion: 8

  • M

  • P

  • D

  • W

    • Ans Expl

    opti that

    pro

    prote o

    supp peri wou wou


    Que


    Which of the following is a characteristic of an ideal wound dressing for a highly exuding wound?


    1. Non-adherent to the wound bed

    2. Occlusive and impermeable to moisture

    3. High absorbency capacity

    4. Promotes autolytic debridement

    Answer: C


    of excessive exudate. Occlusive and impermeable dressings are typic for wounds with minimal exudate or as a barrier protection, but they m e suitable for highly exuding wounds. Promoting autolytic debrideme irable characteristic of a wound dressing, but it may not be the primar ern for a highly exuding wound.


    stion: 9


    ch of the following topical therapies is commonly used for infected nds?


    ydrogel dressing

    lver-impregnated dressing lginate dressing

    ilicone foam dressing wer: B

    Explanation: In the case of a highly exuding wound, an ideal wound dressing should have a high absorbency capacity. This allows the dressing to effectively manage the excess exudate and maintain a moist wound environment, which is conducive to wound healing. Non-adherence to the wound bed is beneficial to minimize trauma during dressing changes, but it may not directly address the issue ally

    used ay

    not b nt is

    a des y

    conc


    Que


    Whi wou


    1. H

    2. Si

    3. A

    4. S


    Ans


    Explanation: Silver-impregnated dressings are commonly used for infected wounds. Silver has antimicrobial properties and can help reduce bacterial load in the wound. It is effective against a broad spectrum of bacteria and can help prevent or manage wound infections. Hydrogel dressings are more appropriate for dry or minimally exuding wounds. Alginate dressings are absorbent and can help manage exudate, but they do not have the same antimicrobial properties as silver dressings. Silicone foam dressings are primarily used for moderate-to-

    heavy exuding wounds and may not specifically target wound infection.


    Question: 10


    Which of the following factors is known to impair wound healing?


    1. Adequate nutrition

      bsence of comorbidities hronic use of corticosteroids


      wer: D


      anation: Chronic use of corticosteroids is known to impair wound hea costeroids can have immunosuppressive effects, leading to decreased mmation and delayed wound healing. Adequate nutrition, young age, nce of comorbidities are generally favorable for wound healing and mote optimal tissue repair.


      stion: 11

      ch of the following is an example of a topical therapy used in wound c otal contact casting

      ffloading

      yperbaric oxygen therapy

      Young age

    2. A

    3. C


    Ans


    Expl ling.

    Corti

    infla and

    abse pro


    Que


    Whi are?


    1. T

    2. O

    3. H

    4. Antimicrobial dressing Answer: D

    Explanation: Antimicrobial dressing is an example of a topical therapy used in wound care. Antimicrobial dressings contain agents that help reduce bacterial colonization and infection in the wound bed. They provide a moist environment

    conducive to wound healing while preventing bacterial growth. Total contact casting, offloading, and hyperbaric oxygen therapy are not topical therapies but rather interventions used in wound care for different purposes, such as pressure redistribution and enhancing oxygen supply.


    Question: 12


    debridement?


    urgical debridement utolytic debridement echanical debridement nzymatic debridement


    wer: C


    anation: Mechanical debridement is considered a conservative sharp dement. It involves the use of tools or techniques such as wet-to-dry ings, wound irrigation, or scrubbing with a gauze pad to mechanicall ve necrotic tissue. Surgical debridement involves the use of a scalpel sharp instrument by a healthcare professional to surgically remove otic tissue. Autolytic debridement utilizes the body's own enzymes an ture to break down necrotic tissue over time. Enzymatic debridement ves the application of topical enzymes to the wound to selectively bre

    necrotic tissue.

    Which of the following debridement modalities is considered a conservative sharp


    1. S

    2. A

    3. M

    4. E

    Ans Expl

    debri

    dress y

    remo or

    other

    necr d

    mois

    invol ak

    down


    Question: 13


    Which of the following is a contraindication for compression therapy in the management of venous leg ulcers?


    1. Peripheral arterial disease

    2. Lymphedema

    3. Deep vein thrombosis

    4. Cellulitis Answer: A

    ying external pressure to the leg to improve venous return and reduce ma. However, in the presence of peripheral arterial disease, the arterial lation may be compromised, and applying compression can further re lood flow, potentially causing ischemia and tissue damage. Lymphed vein thrombosis, and cellulitis are conditions that may require adjust

    ecautions in the application of compression therapy, but they are not lute contraindications.


    stion: 14

    ch of the following is a characteristic of dynamic compression therapy involves the use of compression bandages

    requires the patient to be in a supine position

    is contraindicated in patients with peripheral arterial disease provides continuous and consistent pressure


    wer: A

    Explanation: Peripheral arterial disease is a contraindication for compression therapy in the management of venous leg ulcers. Compression therapy involves appl

    ede

    circu strict

    the b ema,

    deep ments

    or pr abso


    Que


    Whi ?


    1. It

    2. It

    3. It

    4. It


    Ans


    Explanation: Dynamic compression therapy involves the use of compression bandages. It utilizes an intermittent or cyclical application of pressure to the limb, promoting venous return and reducing edema. The patient's position can vary depending on the treatment, and it is not limited to a supine position. Dynamic compression therapy is generally safe for patients with peripheral arterial disease, although caution should be exercised and the pressure levels

    should be adjusted accordingly. Continuous and consistent pressure is a characteristic of staticcompression therapy, not dynamic compression therapy.


    Question: 15


    Which of the following interventions is used to manage pressure ulcers?


    allus reduction rotective footwear hemical cauterization


    wer: A


    anation: Offloading is an intervention used to manage pressure ulcers. oading involves reducing or eliminating pressure on the affected area t mote healing and prevent further tissue damage. It can be achieved thro us methods, such as using specialized cushions, mattresses, or braces, sitioning the patient regularly. Callus reduction, protective footwear, a mical cauterization are not specific interventions for managing pressure

    s.


    stion: 16


    When selecting an appropriate debridement modality, which of the followi rs should be considered?

  • Offloading

  • C

  • P

  • C

    • Ans Expl

    Offl o

    pro ugh

    vario and

    repo nd

    che ulcer


    Que


    ng facto


    1. Patient's age

    2. Wound size

    3. Nutritional status

    4. Pain level Answer: B

    Explanation: When selecting an appropriate debridement modality, wound size should be considered. Different debridement modalities have varying effectiveness and limitations based on the size and characteristics of the wound. Factors such as patient's age, nutritional status, and pain level may influence the overall management of the wound but may not be the primary determining factors in selecting a debridement modality.


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