WOCN Wound Exam. Questions with
Correct Verified Answers. Latest 2026-
2027. Graded A
________ pressure means _________ time tolerance - ANSreduced
increased
Any level of _____ ________ ____________ is considered indicative of
infection in acute wound and colony counts of _________ considered
indicative of infection in chronic wound - ANSbeta hemolytic strep
>10^3
Are TED stockings good compression therapy? - ANSNo! but better than
nothing
Calcaneus - ANSheel bone
Callus - ANShyperkeratotic lesions usually found on plantar surface of foot
caused by repeated friction and pressure
Charcot's arthropathy - ANSserious condition resulting from breakdown of
foot and ankle bones and joints and resulting in loss of normal foot
architectures
assumes a rocker bottom configuration
1
,Colo fistula - ANScolon
Corns - ANShyperkeratotic lesions typically found on toes
composed of protective layers of dead skin cells that are compacted by
repeated friction and pressure
cutaneous fistula - ANSskin
Deep tissue injury - ANSIntact or non-intact skin with localized area of
persistent non-blanchable deep red, maroon, or purple discoloration or
epidermal separation revealing a dark wound bed or blood filled blister
May be indurated or fluctuant
Frequently progresses to deep ulcer even if cared for
Visible signs may not occur for up to 4 days post-injury
Describe a stage 1 pressure injury - ANSnon-blanchable erythema of intact
skin
Describe a stage 2 pressure injury - ANSpartial thickness skin loss with
exposed dermis
wound bed viable, pink or red, moist, and may present as intact or ruptured
serum-filled blister
Describe a stage 3 pressure injury - ANSfull-thickness skin loss
adipose tissue visible in ulcer and granulation tissue and epibole often
present
2
,Describe a stage 4 pressure injury - ANSfull thickness skin and tissue loss
exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or
bone in the ulcer
Distal interphalangeal joints (DIP joints) - ANSjoints between two most
distal toe bones
entero fistula - ANSbowel in general or small bowel in particular
eponychium - ANSlayer of skin covering the nail root (cuticle)
Fissures - ANSlinear cracks in the skin
Free border - ANStop edge of nail plate where it separates from nail bed
(free border begins at point just distal to hyponychium)
Goals of wound assessment - ANS1. Determine etiologic factors
2. Assess systemic factors/comorbidities
3. Assess wound to determine phase of healing
4. Determine goals of topical therapy
Hallux valgus - ANSmisaligned great toe joint (bunion)
First joint of large metatarsal deviates outward and great toe deviates
toward other toes
Hammer toes/claw toes - ANSdeformity characterized by flexion
contractures of the PIP or DIP joints
3
, common in patients with motor neuropathy
Hos do you reduce fistula output? - ANSlimit oral/enteral intake but give
sufficient to prevent mucosal atrophy (20%)
Somatostatin: reduces secretions
NPWT
Adequate nutrition
How can you avoid skin tears? - ANSavoid tape
moisturize - supple skin
protect arms with wrap (ensure no compression)
pad bedrails, wheelchairs, etc
Gentle skin care/handling
How can you prevent friction skin damage? - ANSsoft bathing cloths, gentle
skin care, heel elevation (not just quilted boots), protective dressings,
support surface with low friction low shear cover
How deep must air chambers be for alternating pressure surfaces? -
ANSAir chambers must be at least 10cm in depth
How do bullous lesions present? - ANSLess severe: blisters in response to
minor trauma
more severe: severe chronic blistering, secondary infection, scarring and
contracture, muscous membrane and GI tract involvement
4
Correct Verified Answers. Latest 2026-
2027. Graded A
________ pressure means _________ time tolerance - ANSreduced
increased
Any level of _____ ________ ____________ is considered indicative of
infection in acute wound and colony counts of _________ considered
indicative of infection in chronic wound - ANSbeta hemolytic strep
>10^3
Are TED stockings good compression therapy? - ANSNo! but better than
nothing
Calcaneus - ANSheel bone
Callus - ANShyperkeratotic lesions usually found on plantar surface of foot
caused by repeated friction and pressure
Charcot's arthropathy - ANSserious condition resulting from breakdown of
foot and ankle bones and joints and resulting in loss of normal foot
architectures
assumes a rocker bottom configuration
1
,Colo fistula - ANScolon
Corns - ANShyperkeratotic lesions typically found on toes
composed of protective layers of dead skin cells that are compacted by
repeated friction and pressure
cutaneous fistula - ANSskin
Deep tissue injury - ANSIntact or non-intact skin with localized area of
persistent non-blanchable deep red, maroon, or purple discoloration or
epidermal separation revealing a dark wound bed or blood filled blister
May be indurated or fluctuant
Frequently progresses to deep ulcer even if cared for
Visible signs may not occur for up to 4 days post-injury
Describe a stage 1 pressure injury - ANSnon-blanchable erythema of intact
skin
Describe a stage 2 pressure injury - ANSpartial thickness skin loss with
exposed dermis
wound bed viable, pink or red, moist, and may present as intact or ruptured
serum-filled blister
Describe a stage 3 pressure injury - ANSfull-thickness skin loss
adipose tissue visible in ulcer and granulation tissue and epibole often
present
2
,Describe a stage 4 pressure injury - ANSfull thickness skin and tissue loss
exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or
bone in the ulcer
Distal interphalangeal joints (DIP joints) - ANSjoints between two most
distal toe bones
entero fistula - ANSbowel in general or small bowel in particular
eponychium - ANSlayer of skin covering the nail root (cuticle)
Fissures - ANSlinear cracks in the skin
Free border - ANStop edge of nail plate where it separates from nail bed
(free border begins at point just distal to hyponychium)
Goals of wound assessment - ANS1. Determine etiologic factors
2. Assess systemic factors/comorbidities
3. Assess wound to determine phase of healing
4. Determine goals of topical therapy
Hallux valgus - ANSmisaligned great toe joint (bunion)
First joint of large metatarsal deviates outward and great toe deviates
toward other toes
Hammer toes/claw toes - ANSdeformity characterized by flexion
contractures of the PIP or DIP joints
3
, common in patients with motor neuropathy
Hos do you reduce fistula output? - ANSlimit oral/enteral intake but give
sufficient to prevent mucosal atrophy (20%)
Somatostatin: reduces secretions
NPWT
Adequate nutrition
How can you avoid skin tears? - ANSavoid tape
moisturize - supple skin
protect arms with wrap (ensure no compression)
pad bedrails, wheelchairs, etc
Gentle skin care/handling
How can you prevent friction skin damage? - ANSsoft bathing cloths, gentle
skin care, heel elevation (not just quilted boots), protective dressings,
support surface with low friction low shear cover
How deep must air chambers be for alternating pressure surfaces? -
ANSAir chambers must be at least 10cm in depth
How do bullous lesions present? - ANSLess severe: blisters in response to
minor trauma
more severe: severe chronic blistering, secondary infection, scarring and
contracture, muscous membrane and GI tract involvement
4
