2026 Certified Wound Care Nurse (CWCN
Certification Exam) by WOCNCB New
Latest Version with All Questions, Correct
Answers and Ration
**Question 1:** A patient presents with a chronic wound on the lower
extremity. On assessment, you note the wound is shallow with irregular
borders, located above the medial malleolus, and surrounding skin
shows hemosiderin staining. What is the most likely etiology?
A) Arterial insufficiency
B) Venous insufficiency
C) Diabetic neuropathy
D) Pressure injury
**Correct Answer: B**
**Rationale:** Venous leg ulcers typically occur above the medial
malleolus (gaiter area), are shallow with irregular borders, and present
with characteristic signs of chronic venous disease including
hemosiderin staining (brown discoloration from hemoglobin
breakdown), edema, and stasis dermatitis. Arterial ulcers tend to be
deeper, well-demarcated, and located on distal extremities/toes.
,---
**Question 2:** The Braden Scale is used to assess which clinical
parameter?
A) Wound healing progression
B) Risk for pressure injury development
C) Nutritional status
D) Pain intensity
**Correct Answer: B**
**Rationale:** The Braden Scale is a validated risk assessment tool that
evaluates six subscales: sensory perception, moisture, activity, mobility,
nutrition, and friction/shear. It predicts pressure injury risk, not wound
healing (PUSH tool), nutritional status (BMI, albumin), or pain (numeric
rating scale, Wong-Baker) .
---
**Question 3:** During wound assessment, you observe rolled wound
edges that are curled under toward the wound bed. What is the correct
term for this finding?
, A) Maceration
B) Epibole
C) Induration
D) Undermining
**Correct Answer: B**
**Rationale:** Epibole refers to rolled or curled-under wound edges
that occur when epidermal cells migrate downward rather than across
the wound surface. This prevents epithelialization and indicates a
chronic, non-healing wound state requiring edge management
intervention .
---
### Domain 2: Wound Healing Physiology
**Question 4:** A patient presents with a Stage 3 pressure injury
containing yellow slough tissue in the wound base. Which phase of
wound healing is most actively occurring?
A) Hemostasis
B) Inflammatory phase
C) Proliferative phase
Certification Exam) by WOCNCB New
Latest Version with All Questions, Correct
Answers and Ration
**Question 1:** A patient presents with a chronic wound on the lower
extremity. On assessment, you note the wound is shallow with irregular
borders, located above the medial malleolus, and surrounding skin
shows hemosiderin staining. What is the most likely etiology?
A) Arterial insufficiency
B) Venous insufficiency
C) Diabetic neuropathy
D) Pressure injury
**Correct Answer: B**
**Rationale:** Venous leg ulcers typically occur above the medial
malleolus (gaiter area), are shallow with irregular borders, and present
with characteristic signs of chronic venous disease including
hemosiderin staining (brown discoloration from hemoglobin
breakdown), edema, and stasis dermatitis. Arterial ulcers tend to be
deeper, well-demarcated, and located on distal extremities/toes.
,---
**Question 2:** The Braden Scale is used to assess which clinical
parameter?
A) Wound healing progression
B) Risk for pressure injury development
C) Nutritional status
D) Pain intensity
**Correct Answer: B**
**Rationale:** The Braden Scale is a validated risk assessment tool that
evaluates six subscales: sensory perception, moisture, activity, mobility,
nutrition, and friction/shear. It predicts pressure injury risk, not wound
healing (PUSH tool), nutritional status (BMI, albumin), or pain (numeric
rating scale, Wong-Baker) .
---
**Question 3:** During wound assessment, you observe rolled wound
edges that are curled under toward the wound bed. What is the correct
term for this finding?
, A) Maceration
B) Epibole
C) Induration
D) Undermining
**Correct Answer: B**
**Rationale:** Epibole refers to rolled or curled-under wound edges
that occur when epidermal cells migrate downward rather than across
the wound surface. This prevents epithelialization and indicates a
chronic, non-healing wound state requiring edge management
intervention .
---
### Domain 2: Wound Healing Physiology
**Question 4:** A patient presents with a Stage 3 pressure injury
containing yellow slough tissue in the wound base. Which phase of
wound healing is most actively occurring?
A) Hemostasis
B) Inflammatory phase
C) Proliferative phase
