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To begin your preparation in an informed and organized manner, each candidate should know what to expect from the actual examination in terms of the content. Information regarding the content of the examination is presented in this Examination Handbook. The content outline will give you a general impression of the examination, and with closer inspection, can give specific study direction by revealing the relative importance given to each category on the examination. The content for the examination is directly linked to a job analysis, a research study that involved sending surveys to practicing wound, ostomy, and continence nurses. An advisory committee of subject matter experts appointed by WOCNCB® reviewed a summary of the responses of hundreds of nurses. The committee determined the content of the examination by evaluating the practice activities judged by the respondents to be a part of practice and significant enough to warrant inclusion in the examination. The Content Outline indicates the content categories relevant to each of the performance areas and the number of questions for each category. Complexity levels for questions are also assigned as recall, application and analysis: Recall: The ability to recall or recognize specific information is required. Application: The ability to comprehend, relate or apply knowledge to new or changing situations is required. Analysis: The ability to analyze and synthesize information, determine solutions or to evaluate the usefulness of a solution is required. The entire examination consists of approximately 25 percent recall questions, 61 percent application questions and 14 percent analysis questions. Disclaimer: WOCNCB embraces the latest evidence based practices in our specialty areas, incorporating such evidence into our testing. Exams are updated on a regular schedule. Exam development is a lengthy process, which ensures a quality product and adherence to best practices in testing. Candidates should be aware it is possible to see prior content while tests are updated. Exam content purpose: The CFCN certification examination aims to ensure specialized competence and professionalism for nurses who provide foot care assessment, intervention, and education in all settings across the healthcare continuum. The purpose of the credentialing exam is to establish and measure the level of knowledge required for certification. This exam outline summarizes the list of performance domains, tasks, knowledge, and skills needed for assessing specialized competence. The examination is directly linked to a job analysis, a research study that involved sending surveys to practicing foot care nurses. The content outline contains categories relevant to each of the performance areas and specifies the number of questions for each category. Complexity levels for questions are also assigned as recall, application and analysis. Exam content purpose: The CWCN/COCN/CCCN certification examinations aim to ensure specialized competence and professionalism for nurses who provide wound (ostomy, continence) care assessment, intervention, and education in all settings across the healthcare continuum. The purpose of the credentialing exam is to establish and measure the level of knowledge required for certification. This exam outline summarizes the list of performance domains, tasks, knowledge, and skills needed for assessing specialized competence. The examination is directly linked to a job analysis, a research study that involved sending

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Examination Handbook

Certified Wound Ostomy Continence Nurse (CWOCN®) Certified Wound
Ostomy Nurse (CWON®) Certified Wound Care Nurse (CWCN®) Certified
Ostomy Care Nurse (COCN®)
Certified Continence Care Nurse (CCCN®) Certified Foot Care Nurse
(CFCN®) Wound Treatment Associate-Certified (WTA-C)
Advanced Practice:
CWOCN-AP® CWON-AP®
CWCN-AP®
COCN-AP (SM)
CCCN-AP (SM)

,
,FEBRUARY 2023 1
WOCNCB®
EXAMINATION
HANDBOOK
For the following credentials:
Certified Wound Ostomy Continence Nurse (CWOCN®)
Certified Wound Ostomy Nurse (CWON®)
Certified Wound Care Nurse (CWCN®)
Certified Ostomy Care Nurse (COCN®)
Certified Continence Care Nurse
(CCCN®) Certified Foot Care Nurse
(CFCN®)

Advanced Practice:
CWOCN-AP®
CWON-AP®
CWCN-AP®
COCN-APSM
CCCN-APSM

A publication of the Wound, Ostomy, and Continence Nursing Certification Board
(WOCNCB®)
Revised July 2022

NOTE: The examination handbook may also be
downloaded and printed from the
www.WOCNCB.org website.

©All materials contained in this handbook are the property of the Wound, Ostomy, and Continence Nursing
Certification Board and may not be copied unless the purpose of the copies is related to submission of an
exam application.

WOCNCB®
555 E. Wells Street, Suite 1100
Milwaukee, WI 53202
(888) 496-2622
www.WOCNCB.org

WOCNCB® EXAMINATION HANDBOOK
TABLE OF CONTENTS

Copyright © 2023. Wound, Ostomy, and Continence Nursing Certification Board (WOCNCB®). All rights reserved. No part of this publication may be reproduced or transmitted in
any form or by any means, electronic or mechanical, including photocopy or recording, or by any information and retrieval system, without permission in writing from the
WOCNCB®.

, 2 WOCNCB EXAMINATION HANDBOOK
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.......3 ABOUT THE WOCNCB® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...........3
STATEMENT OF NONDISCRIMINATION POLICY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
(RE)CERTIFICATION PHILOSOPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
TESTING AGENCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ABOUT THE EXAMINATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...4 CREDENTIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....5
ELIGIBILITY REQUIREMENTS FOR WOUND, OSTOMY, OR CONTINENCE EXAMS . . . . . . . . . . . . . . . . . . .
...5
ELIGIBILITY REQUIREMENTS FOR ADVANCED PRACTICE WOUND, OSTOMY, OR CONTINENCE
EXAMS . . . . . 6
ELIGIBILITY REQUIREMENTS FOR FOOT CARE EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
ELIGIBILITY REQUIREMENTS FOR WTA-C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
LAPSED CREDENTIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
INSTRUCTIONS FOR EXPERIENTIAL PATHWAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ELIGIBILITY PERIOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
STATUS OF YOUR APPLICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
EXAMINATION FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . 11 FIRST RETAKE EXAM FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . 11 SURCHARGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . 11 APPLICATION PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
APPLICATION CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 EXAMINATION PROCESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . 12
SCHEDULING A TESTING SESSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
TESTING CENTERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
SPECIAL ADA ACCOMMODATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
RESCHEDULING A TESTING SESSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
EXAMINATION RULES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . 14 EXAMINATION RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . 16 CERTIFICATES / WALLET CARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . 15 EXAMINATION RETAKES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . 15
PREPARATION FOR THE EXAMINATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POLICIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CONFIDENTIALITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PRIVACY POLICY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . 16 LAPSED CREDENTIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . 18
REFUNDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
CREDENTIAL EXTENSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
REVOCATION OF CERTIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
APPEALS POLICY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
COPYRIGHTED EXAM QUESTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
WOUND, OSTOMY, OR CONTINENCE EXAMINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 20
CODES FOR WOC (ET) NURSING EDUCATION PROGRAMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
EXAMINATION CONTENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
EXAMS CONTENT OUTLINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
SAMPLE QUESTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
FOOT CARE EXAMINATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
EXAM CONTENT OUTLINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
SAMPLE QUESTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
WTA-C EXAM CONTENT OUTLINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
WTA-C SAMPLE QUESTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
ADVANCED PRACTICE EXAMINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44
CONTENT OUTLINE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
SAMPLE QUESTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Copyright © 2023. Wound, Ostomy, and Continence Nursing Certification Board (WOCNCB®). All rights reserved. No part of this publication may be reproduced or transmitted in
any form or by any means, electronic or mechanical, including photocopy or recording, or by any information and retrieval system, without permission in writing from the
WOCNCB®.

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