Certified Wound Ostomy Continence Nurse (CWOCN)
Practice Exam Questions and correct detailed
answers{verified answers}|already graded A+
1. Which phase of wound healing is characterized by neutrophil
activity and vasodilation?
A. Maturation
B. Inflammatory
C. Proliferative
D. Remodeling
The inflammatory phase involves neutrophils, vasodilation, and
increased permeability.
2. The primary function of fibroblasts during wound healing is:
A. Bacterial destruction
B. Collagen synthesis
C. Clot formation
D. Scab formation
Fibroblasts produce collagen, crucial for tensile strength.
3. Which wound dressing maintains a moist environment and
absorbs moderate exudate?
A. Transparent film
B. Hydrocolloid
C. Alginate
D. Gauze
Alginates absorb moderate-to-heavy exudate while maintaining
moisture.
4. A Stage 3 pressure injury involves:
A. Non-blanchable erythema
B. Partial-thickness skin loss
,C. Full-thickness skin loss without exposed structures
D. Exposed bone
Stage 3 includes full-thickness loss with fat visible but no exposed
structures.
5. Which electrolyte imbalance is most associated with high-output
ileostomies?
A. Hyperkalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypermagnesemia
Ileostomy losses are rich in sodium.
6. The best treatment for peristomal candidiasis is:
A. Barrier spray
B. Topical antifungal powder
C. Zinc oxide
D. Steroid ointment
Antifungal powder treats fungal infections effectively in moist areas.
7. Which assessment finding suggests arterial ulceration?
A. Irregular wound edges
B. Heavy exudate
C. Pale base and punched-out appearance
D. Brown hemosiderin staining
Arterial ulcers appear pale, round, with minimal drainage.
8. The most reliable method to diagnose a wound infection is:
A. Visual assessment
B. Quantitative tissue biopsy
C. Swab culture
D. Odor intensity
Tissue biopsy is the gold standard.
, 9. Which dressing is inappropriate for dry necrotic eschar on the
heel?
A. No dressing
B. Paint with Betadine
C. Wet-to-dry dressing
D. Protective padding
Wet-to-dry removes tissue and is contraindicated for stable eschar.
10. A suitable management for a mucocutaneous separation
around a stoma is:
A. Larger pouch opening
B. Fill defect with stoma powder and protect
C. Tightening the appliance
D. Leaving exposed
Filling and protecting allows healing.
11. Which intervention increases shear reduction?
A. Raising the head of bed 60°
B. Using a donut cushion
C. Maintaining HOB ≤30°
D. Applying lotion
Lower HOB reduces shear significantly.
12. Incontinence-associated dermatitis (IAD) often presents as:
A. Undermining tunnels
B. Diffuse erythema in irregular patterns
C. Deep crater
D. Attached edges
IAD has diffuse redness vs. pressure injuries with defined borders.
13. The best first step in managing a leaking ostomy appliance is:
Practice Exam Questions and correct detailed
answers{verified answers}|already graded A+
1. Which phase of wound healing is characterized by neutrophil
activity and vasodilation?
A. Maturation
B. Inflammatory
C. Proliferative
D. Remodeling
The inflammatory phase involves neutrophils, vasodilation, and
increased permeability.
2. The primary function of fibroblasts during wound healing is:
A. Bacterial destruction
B. Collagen synthesis
C. Clot formation
D. Scab formation
Fibroblasts produce collagen, crucial for tensile strength.
3. Which wound dressing maintains a moist environment and
absorbs moderate exudate?
A. Transparent film
B. Hydrocolloid
C. Alginate
D. Gauze
Alginates absorb moderate-to-heavy exudate while maintaining
moisture.
4. A Stage 3 pressure injury involves:
A. Non-blanchable erythema
B. Partial-thickness skin loss
,C. Full-thickness skin loss without exposed structures
D. Exposed bone
Stage 3 includes full-thickness loss with fat visible but no exposed
structures.
5. Which electrolyte imbalance is most associated with high-output
ileostomies?
A. Hyperkalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypermagnesemia
Ileostomy losses are rich in sodium.
6. The best treatment for peristomal candidiasis is:
A. Barrier spray
B. Topical antifungal powder
C. Zinc oxide
D. Steroid ointment
Antifungal powder treats fungal infections effectively in moist areas.
7. Which assessment finding suggests arterial ulceration?
A. Irregular wound edges
B. Heavy exudate
C. Pale base and punched-out appearance
D. Brown hemosiderin staining
Arterial ulcers appear pale, round, with minimal drainage.
8. The most reliable method to diagnose a wound infection is:
A. Visual assessment
B. Quantitative tissue biopsy
C. Swab culture
D. Odor intensity
Tissue biopsy is the gold standard.
, 9. Which dressing is inappropriate for dry necrotic eschar on the
heel?
A. No dressing
B. Paint with Betadine
C. Wet-to-dry dressing
D. Protective padding
Wet-to-dry removes tissue and is contraindicated for stable eschar.
10. A suitable management for a mucocutaneous separation
around a stoma is:
A. Larger pouch opening
B. Fill defect with stoma powder and protect
C. Tightening the appliance
D. Leaving exposed
Filling and protecting allows healing.
11. Which intervention increases shear reduction?
A. Raising the head of bed 60°
B. Using a donut cushion
C. Maintaining HOB ≤30°
D. Applying lotion
Lower HOB reduces shear significantly.
12. Incontinence-associated dermatitis (IAD) often presents as:
A. Undermining tunnels
B. Diffuse erythema in irregular patterns
C. Deep crater
D. Attached edges
IAD has diffuse redness vs. pressure injuries with defined borders.
13. The best first step in managing a leaking ostomy appliance is:
