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Wound Care RN Exam Prep: Questions and Answers for 2025-2026, Exams of Nursing

A collection of questions and answers related to wound care, specifically geared towards preparing for the wound care rn exam. It covers various aspects of wound healing, including secondary intention, partial thickness repair, chronic wound healing, vitamin c's role in collagen formation, protein intake requirements, wound complications, and different types of skin lesions. The document also includes information on wound care interventions, dressings, and medications.

Typology: Exams

2024/2025

Available from 04/06/2025

catewilliams-smith
catewilliams-smith 🇺🇸

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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/24
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.
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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