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WOCN Wound Care RN Exam Prep question with
verified solution 2025 - 2026
Steps to heal by Secondary Intention - ✔✔Formation of granulation tissue, contraction of the wound bed edges, and epithelialization
Partial thickness repair - ✔✔Inflammatory response, epithelial proliferation and migration, epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - ✔✔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? - ✔✔Vitamin C
Normal protein intake - ✔✔.8 g/kg/
Protein intake for injury - ✔✔increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - ✔✔dehiscence, infection, delayed wound healing, adipose tissue poorly perfused and heals at a slower rate
Keloid Scars are formed how? - ✔✔Overgrowth of collagen within scar tissue, seen with pigmented skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - ✔✔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? - ✔✔Protein & mixed protein malnutrition: marasmus-kwashiorkor
Marjoin ulcer - ✔✔chronic wounds in malignant wound
Candidiasis - ✔✔Pustules and satellite lesions with red base
Incontinence associated dermatitis - ✔✔blisters with red base
Radiation Dermatitis - ✔✔Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - ✔✔Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - ✔✔Ulcer with irregular shape and violaceous (purple) raised edges. Sharp debridement is contraindicated.
Calciphylaxix - ✔✔Calcific uremic arteriolopathy elevated calcium/phosphate. Dialysis. may present similar to Pyoderma. Aggressive sharp debridement for necrotic tissue.
Partial thickness wound - ✔✔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
Epibole - ✔✔rolled skin edge that indicates slow healing. Prevents epithelialization and closure. Cauterization (silver nitrate) or surgical debridement
Elma (topical prilocaine/lidocaine) - ✔✔best 30-60 min under nonadherent transparent wrap for analgesia
PreAlbumin - ✔✔Maybe normal under states of malnutrition
Metronidazole (Flagyl) - ✔✔Crushed and used to control odor in fungating wounds (breast CA)
Cover partial thickness skin tears with - ✔✔Contact layer (nonadherent dressing)
Candidiasis Intervention - ✔✔prevent moisture buildup
miconazole nitrate powder 2%
Calcium Alginate Dressing - ✔✔Shallow to tunnels with moderate to heavy drainage
Surgical Sharp Debridement - ✔✔Non selective. Indicated for advancing cellulitis and wound related sepsis
Always culture - ✔✔Clean viable tissue not exudate or eschar
A wound that fails to progress as anticipated
Levine technique uses a normal saline moistened swab
Dankin's (sodium hypochlorite <0.5%) - ✔✔Removes slough and controls odor
Kenalog cream - ✔✔reduces hyperplasia
Regranex - ✔✔Platelet growth factor for foot ulcers
Unstageable Pressure Ulcer - ✔✔Full thickness with base covered in slough
Braden Scale - ✔✔>18-23 not at risk
15-18 mild
13-14 mod
10-12 high
<9 very high
PUSH Tool - ✔✔Pressure ulcer healing evaluated by size, exudate, and tissue type
