CWCN EVALUATION 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔Your patient calls the wound clinic to say his malignant wound is "itchy." Which of
the following would be appropriate to relieve the itching?
A. Oral steroids
B. Oral antihistamines
C. Oral antibiotics
D. Topical antibiotics - ✔✔B. Oral antihistamines
✔✔10-month postpartum woman reports urinary leakage during her gym workouts. She
reports adequate hydration and drinks 1 cup of coffee per day. Physical assessment
reveals the patient is at her pre-pregnancy weight with a BMI of 24. To manage her
incontinence, she urinates immediately prior to working out and uses body-worn
absorptive products during exercise. What recommendation would the continence nurse
provide at this time?
A. Continue use of body-worn absorptive products
B. Pelvic floor muscle exercises
C. Referral for surgery with a urogynecologist
D. Limit fluid intake 1 hour prior to exercise - ✔✔B. Pelvic floor muscle exercises
continence nurse recognizes vaginal delivery as a risk factor for stress urinary
incontinence due to weakening of the pelvic floor muscles
✔✔What would the continence nurse expect to find when interpreting the bladder diary
of a female patient with suspected stress urinary incontinence?
A. Bladder leakage when sneezing
B. Recordings of 2 days of symptoms including voiding frequency, fluid intake, leakage,
and activity
C. Bladder leakage following a sudden urge to void
D. Recordings of 12 days of symptoms including voiding frequency, fluid intake,
leakage, and activity - ✔✔A. Bladder leakage when sneezing
Stress urinary incontinence occurs when activity, such as sneezing, causes involuntary
loss of urine. Bladder leakage that occurs, followed by a sudden, strong urge to void,
would be descriptive of urge incontinence
✔✔The CWCN provides education to an adult patient with a stage 3 pressure injury,
who also adheres to a vegan diet. Which foods are recommended to be high in protein,
supporting wound healing for this patient?
A. Chickpeas, lentils, tofu
,B. Cantaloupe, fortified cereals, fish
C. Quinoa, poultry, kiwi
D. Cheese, oranges, broccoli - ✔✔A. Chickpeas, lentils, tofu<-- Protein-Rich Food
(acceptable in Vegan Diet)
✔✔The WTA-C is conducting a routine follow-up patient visit to observe and measure
wound dimensions of a stage 2 pressure injury located on the patient's sacrum. Which
observation would indicate a possible deterioration in the wound and necessitate a
discussion with the supervising CWCN to modify plan of care?
A. Circumferential epithelialization
B. No change in wound dimensions
C. Dark purple/maroon wound base
D. Moist wound base - ✔✔C. Dark purple/maroon wound base
✔✔As a CWCN-AP, you are consulted to see a patient in outpatient clinic with an
unstageable pressure injury to their right heel. The wound on right heel is completely
covered by soft, brown eschar. You notice that the periwound area is indurated, warm-
to-touch, and tender to the patient. In addition, there is a moderate amount of
malodorous purulent drainage on previous dressing and the base of the eschar is
pliable on palpation. Review of medical records shows the patient has just had an
arterial Doppler vascular study + adequate perfusion to the extremity is confirmed.
Given these assessment findings, what should be your first intervention?
A. Order a hydrocolloid dressing to protect wound from further friction and shear.
B. Order a heel-relief device to off -load the extremity when patient is in bed.
C. Perform conservative sharp debridement to remove nonviable eschar from base of
wound.
D. Order a (CRP) lab test. - ✔✔C. Perform conservative sharp debridement to remove
nonviable eschar from base of wound.
✔✔Th e CWCN-AP is asked to give a formal presentation that describes the various
wound dressing categories for pressure injuries. At the end of the lecture, the
discussion was opened to receive questions from the audience of nursing professionals.
One of the participants asks the CWCN-AP to recommend an appropriate dressing
category for a noninfected and clean stage 2 pressure injury. Of the dressing selections,
what is the most appropriate answer?
A. Silver-impregnated
B. Collagen
C. Alginate
D. Hydrogel - ✔✔D. Hydrogel
✔✔When observing patients ambulate, you notice an abnormal gait and that they are
using furniture to assist with their balance. When questioned, they admit that they are
always clumsy. This is most likely related to which of the following?
A. Inner ear infection
,B. Motor neuropathy
C. Autonomic neuropathy
D. Disturbed proprioception - ✔✔D. Disturbed proprioception
✔✔A patient presents with a 10-year history of diabetes mellitus and a firm, rounded
bulge on the mid-plantar surface of his or her foot. This is most likely which of the
following?
A. Charcot foot deformity
B. Hallux valgus
C. Tailor's bunion
D. Gouty arthritis - ✔✔A. Charcot foot deformity
✔✔The dermatophyte fungi routinely lead to which common nail disorder affecting up to
13% of the general population?
a. Onychogryphosis
b. Onychocryptosis
C. Onychomycosis
D. Onycholysis - ✔✔C. Onychomycosis
common nail disorder directly caused by a nail fungi
✔✔Which of the following would be considered most important when conducting an
initial assessment of a person with diabetes mellitus?
A. arthritis status
B. smoking habits
C. vision problems
D. shoulder pain - ✔✔B. smoking habits
Smoking and diabetes place this patient at higher risk of arterial disease.
✔✔Which of the following causes maceration between the toes?
A. inflammation
B. allergy
C. excessively dry skin
D. excessively moist skin - ✔✔D. excessively moist skin
Maceration- Overhydration of the skin that is characterized by a white, "waterlogged"
appearance. The prolonged presence of moisture on the skin will precipitate
maceration.
✔✔You are instructing a foot care patient on proper shoe fit. Which of the following is
most important to emphasize?
A. Shoes should be selected based on the printed shoe size provided by the
manufacturer.
B. Shoes should be tested for fit early in the morning before the patient is too fatigued.
, C. Shoes should be made of heavy, stiff leather to provide maximum support.
D. Shoes should be selected based on how they conform to the shape of the patient's
foot. - ✔✔D. Shoes should be selected based on how they conform to the shape of the
patient's foot.
✔✔When teaching a high-risk foot care patient, which of the following is the most
important point to reinforce?
A. daily examination of the feet
B. wearing clean, white socks
C. seeing the doctor every 6 months
D. maintaining hemoglobin A1C levels less than 7% - ✔✔A. daily examination of the
feet
✔✔You are reviewing a medication history on a patient prior to performing toenail care.
Which of the following medications may indicate that a patient has peripheral arterial
disease?
A. Diabinese
B. Plavix
C. Neurontin
D. Toprol - ✔✔B. Plavix
75 mg oral daily is indicated for pt w/ peripheral arterial disease (it inhibits platelet
aggregation)
✔✔A patient with diabetes asks the CFCN about how to manage a persistent corn on
the fifth toe. Which of the following is the best response?
A. Purchase shoes that keep the toes pressed together.
B. Apply a cotton ball between the fourth and fifth toes.
C. Avoid the use of corn remover pads with salicylic acid.
D. A referral to a surgeon for corrective surgery is needed. - ✔✔C. Avoid the use of corn
remover pads with salicylic acid.
✔✔A patient with a transmetatarsal amputation surgery is now ready to resume
shoewear. What is the most important factor the patient should consider?
A. He will need to purchase 2 different-sized shoes.
B. He should resume the use of prior shoewear that was comfortable.
C. He may need an exam by an orthopedic surgeon or a podiatrist to prescribe
orthotics.
D. He should choose shoes that are open-toed to prevent rubbing the end of the foot. -
✔✔C. He may need an exam by an orthopedic surgeon or a podiatrist to prescribe
orthotics.
After a transmetatarsal amputation, the patient now has a foot that may require custom
shoewear and/or orthotics with a toe filler to keep foot from sliding forward in the shoe
SOLUTIONS RATED A+
✔✔Your patient calls the wound clinic to say his malignant wound is "itchy." Which of
the following would be appropriate to relieve the itching?
A. Oral steroids
B. Oral antihistamines
C. Oral antibiotics
D. Topical antibiotics - ✔✔B. Oral antihistamines
✔✔10-month postpartum woman reports urinary leakage during her gym workouts. She
reports adequate hydration and drinks 1 cup of coffee per day. Physical assessment
reveals the patient is at her pre-pregnancy weight with a BMI of 24. To manage her
incontinence, she urinates immediately prior to working out and uses body-worn
absorptive products during exercise. What recommendation would the continence nurse
provide at this time?
A. Continue use of body-worn absorptive products
B. Pelvic floor muscle exercises
C. Referral for surgery with a urogynecologist
D. Limit fluid intake 1 hour prior to exercise - ✔✔B. Pelvic floor muscle exercises
continence nurse recognizes vaginal delivery as a risk factor for stress urinary
incontinence due to weakening of the pelvic floor muscles
✔✔What would the continence nurse expect to find when interpreting the bladder diary
of a female patient with suspected stress urinary incontinence?
A. Bladder leakage when sneezing
B. Recordings of 2 days of symptoms including voiding frequency, fluid intake, leakage,
and activity
C. Bladder leakage following a sudden urge to void
D. Recordings of 12 days of symptoms including voiding frequency, fluid intake,
leakage, and activity - ✔✔A. Bladder leakage when sneezing
Stress urinary incontinence occurs when activity, such as sneezing, causes involuntary
loss of urine. Bladder leakage that occurs, followed by a sudden, strong urge to void,
would be descriptive of urge incontinence
✔✔The CWCN provides education to an adult patient with a stage 3 pressure injury,
who also adheres to a vegan diet. Which foods are recommended to be high in protein,
supporting wound healing for this patient?
A. Chickpeas, lentils, tofu
,B. Cantaloupe, fortified cereals, fish
C. Quinoa, poultry, kiwi
D. Cheese, oranges, broccoli - ✔✔A. Chickpeas, lentils, tofu<-- Protein-Rich Food
(acceptable in Vegan Diet)
✔✔The WTA-C is conducting a routine follow-up patient visit to observe and measure
wound dimensions of a stage 2 pressure injury located on the patient's sacrum. Which
observation would indicate a possible deterioration in the wound and necessitate a
discussion with the supervising CWCN to modify plan of care?
A. Circumferential epithelialization
B. No change in wound dimensions
C. Dark purple/maroon wound base
D. Moist wound base - ✔✔C. Dark purple/maroon wound base
✔✔As a CWCN-AP, you are consulted to see a patient in outpatient clinic with an
unstageable pressure injury to their right heel. The wound on right heel is completely
covered by soft, brown eschar. You notice that the periwound area is indurated, warm-
to-touch, and tender to the patient. In addition, there is a moderate amount of
malodorous purulent drainage on previous dressing and the base of the eschar is
pliable on palpation. Review of medical records shows the patient has just had an
arterial Doppler vascular study + adequate perfusion to the extremity is confirmed.
Given these assessment findings, what should be your first intervention?
A. Order a hydrocolloid dressing to protect wound from further friction and shear.
B. Order a heel-relief device to off -load the extremity when patient is in bed.
C. Perform conservative sharp debridement to remove nonviable eschar from base of
wound.
D. Order a (CRP) lab test. - ✔✔C. Perform conservative sharp debridement to remove
nonviable eschar from base of wound.
✔✔Th e CWCN-AP is asked to give a formal presentation that describes the various
wound dressing categories for pressure injuries. At the end of the lecture, the
discussion was opened to receive questions from the audience of nursing professionals.
One of the participants asks the CWCN-AP to recommend an appropriate dressing
category for a noninfected and clean stage 2 pressure injury. Of the dressing selections,
what is the most appropriate answer?
A. Silver-impregnated
B. Collagen
C. Alginate
D. Hydrogel - ✔✔D. Hydrogel
✔✔When observing patients ambulate, you notice an abnormal gait and that they are
using furniture to assist with their balance. When questioned, they admit that they are
always clumsy. This is most likely related to which of the following?
A. Inner ear infection
,B. Motor neuropathy
C. Autonomic neuropathy
D. Disturbed proprioception - ✔✔D. Disturbed proprioception
✔✔A patient presents with a 10-year history of diabetes mellitus and a firm, rounded
bulge on the mid-plantar surface of his or her foot. This is most likely which of the
following?
A. Charcot foot deformity
B. Hallux valgus
C. Tailor's bunion
D. Gouty arthritis - ✔✔A. Charcot foot deformity
✔✔The dermatophyte fungi routinely lead to which common nail disorder affecting up to
13% of the general population?
a. Onychogryphosis
b. Onychocryptosis
C. Onychomycosis
D. Onycholysis - ✔✔C. Onychomycosis
common nail disorder directly caused by a nail fungi
✔✔Which of the following would be considered most important when conducting an
initial assessment of a person with diabetes mellitus?
A. arthritis status
B. smoking habits
C. vision problems
D. shoulder pain - ✔✔B. smoking habits
Smoking and diabetes place this patient at higher risk of arterial disease.
✔✔Which of the following causes maceration between the toes?
A. inflammation
B. allergy
C. excessively dry skin
D. excessively moist skin - ✔✔D. excessively moist skin
Maceration- Overhydration of the skin that is characterized by a white, "waterlogged"
appearance. The prolonged presence of moisture on the skin will precipitate
maceration.
✔✔You are instructing a foot care patient on proper shoe fit. Which of the following is
most important to emphasize?
A. Shoes should be selected based on the printed shoe size provided by the
manufacturer.
B. Shoes should be tested for fit early in the morning before the patient is too fatigued.
, C. Shoes should be made of heavy, stiff leather to provide maximum support.
D. Shoes should be selected based on how they conform to the shape of the patient's
foot. - ✔✔D. Shoes should be selected based on how they conform to the shape of the
patient's foot.
✔✔When teaching a high-risk foot care patient, which of the following is the most
important point to reinforce?
A. daily examination of the feet
B. wearing clean, white socks
C. seeing the doctor every 6 months
D. maintaining hemoglobin A1C levels less than 7% - ✔✔A. daily examination of the
feet
✔✔You are reviewing a medication history on a patient prior to performing toenail care.
Which of the following medications may indicate that a patient has peripheral arterial
disease?
A. Diabinese
B. Plavix
C. Neurontin
D. Toprol - ✔✔B. Plavix
75 mg oral daily is indicated for pt w/ peripheral arterial disease (it inhibits platelet
aggregation)
✔✔A patient with diabetes asks the CFCN about how to manage a persistent corn on
the fifth toe. Which of the following is the best response?
A. Purchase shoes that keep the toes pressed together.
B. Apply a cotton ball between the fourth and fifth toes.
C. Avoid the use of corn remover pads with salicylic acid.
D. A referral to a surgeon for corrective surgery is needed. - ✔✔C. Avoid the use of corn
remover pads with salicylic acid.
✔✔A patient with a transmetatarsal amputation surgery is now ready to resume
shoewear. What is the most important factor the patient should consider?
A. He will need to purchase 2 different-sized shoes.
B. He should resume the use of prior shoewear that was comfortable.
C. He may need an exam by an orthopedic surgeon or a podiatrist to prescribe
orthotics.
D. He should choose shoes that are open-toed to prevent rubbing the end of the foot. -
✔✔C. He may need an exam by an orthopedic surgeon or a podiatrist to prescribe
orthotics.
After a transmetatarsal amputation, the patient now has a foot that may require custom
shoewear and/or orthotics with a toe filler to keep foot from sliding forward in the shoe
