WOCN Wound Care RN Questions and
Answers
Steps to heal by Secondary Intention - correct answer: Formation of granulation tissue,
contraction of the wound bed edges, and epithelialization
Partial thickness repair - correct answer: Inflammatory response, epithelial proliferation and
migration, epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - correct answer: Low levels of
growth factors and receptor sites. They are needed to move cells out of the inflammatory phase
and into the proliferative/Rebuilding Phase
What Vitamin assists in collagen/fibroplasia formation? - correct answer: Vitamin C
Normal protein intake - correct answer: .8 g/kg/24
Protein intake for injury - correct answer: increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - correct answer: dehiscence, infection, delayed wound healing, adipose
tissue poorly perfused and heals at a slower rate
Keloid Scars are formed how? - correct answer: Overgrowth of collagen within scar tissue, seen
with pigmented skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - correct answer: scar with thickened epidermal layer
contained within the original incision area. Formed from prolonged inflammatory phase.
, Fast/rapid weight loss produces what type of malnutrition? - correct answer: Protein & mixed
protein malnutrition: marasmus-kwashiorkor
Marjoin ulcer - correct answer: chronic wounds in malignant wound
Candidiasis - correct answer: Pustules and satellite lesions with red base
Incontinence associated dermatitis - correct answer: blisters with red base
Radiation Dermatitis - correct answer: Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - correct answer: Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - correct answer: Ulcer with irregular shape and violaceous (purple)
raised edges. Sharp debridement is contraindicated.
Calciphylaxix - correct answer: Calcific uremic arteriolopathy elevated calcium/phosphate.
Dialysis. may present similar to Pyoderma. Aggressive sharp debridement for necrotic tissue.
Partial thickness wound - correct answer: shallow ,.2 cm, moist, pink/red wound base, exposure
of basement membrane and of nerve endings. Epidermal/Dermal Loss
- Heal by reepithelialization
- No scar or loss of function
Answers
Steps to heal by Secondary Intention - correct answer: Formation of granulation tissue,
contraction of the wound bed edges, and epithelialization
Partial thickness repair - correct answer: Inflammatory response, epithelial proliferation and
migration, epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - correct answer: Low levels of
growth factors and receptor sites. They are needed to move cells out of the inflammatory phase
and into the proliferative/Rebuilding Phase
What Vitamin assists in collagen/fibroplasia formation? - correct answer: Vitamin C
Normal protein intake - correct answer: .8 g/kg/24
Protein intake for injury - correct answer: increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - correct answer: dehiscence, infection, delayed wound healing, adipose
tissue poorly perfused and heals at a slower rate
Keloid Scars are formed how? - correct answer: Overgrowth of collagen within scar tissue, seen
with pigmented skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - correct answer: scar with thickened epidermal layer
contained within the original incision area. Formed from prolonged inflammatory phase.
, Fast/rapid weight loss produces what type of malnutrition? - correct answer: Protein & mixed
protein malnutrition: marasmus-kwashiorkor
Marjoin ulcer - correct answer: chronic wounds in malignant wound
Candidiasis - correct answer: Pustules and satellite lesions with red base
Incontinence associated dermatitis - correct answer: blisters with red base
Radiation Dermatitis - correct answer: Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - correct answer: Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - correct answer: Ulcer with irregular shape and violaceous (purple)
raised edges. Sharp debridement is contraindicated.
Calciphylaxix - correct answer: Calcific uremic arteriolopathy elevated calcium/phosphate.
Dialysis. may present similar to Pyoderma. Aggressive sharp debridement for necrotic tissue.
Partial thickness wound - correct answer: shallow ,.2 cm, moist, pink/red wound base, exposure
of basement membrane and of nerve endings. Epidermal/Dermal Loss
- Heal by reepithelialization
- No scar or loss of function
