CWCN Practice Questions with Complete Solutions
Mr. Jones, 75, lives with his family at home. His BMI is 45. He has two stage IV pressure ulcers;
one on his left trochanter, and one on his sacrum. You are developing the plan of
Mr. Jones, 75, lives with his family at home. His BMI is 45. He has two stage IV pressure ulcers;
one on his left trochanter, and one on his sacrum. You are developing the plan of care. You
understand that, under Medicare guidelines, your patient qualifies for a specialty surface. The
best surface for Mr. Jones is:
A. A low air loss mattress replacement
B. A small-cell mattress overlay
C. An air-fluidized bed
D. A high-density foam mattress Correct Ans-A. A low air loss mattress replacement
You are assessing a patient's neuropathic swollen foot and notice that the 6 mm indentation
of the left dorsal foot does not resolve after 1 minute. The edema is graded at:
A. 4+
B. Weeping
C. 2+
, CWCN Practice Questions with Complete Solutions
D. 3+ Correct Ans-D. 3+
A family member calls you to relay their concern that their mother's abdominal incision has
"popped open" and is draining a moderate amount of clear yellow fluid. When you arrive at
their home, you find that the central area of the incision has opened without any evidence of
tunneling, undermining or evisceration. What is the most appropriate primary dressing?
A. Calcium alginate packing
B. Wet-to-dry gauze packing
C. Amorphous hydrogel
D. Enzymatic ointment Correct Ans-A. Calcium alginate packing
A patient's chronic, nonhealing left neuropathic plantar ulcer appears stalled. The patient has
a history of a below-the-knee amputation (BKA) secondary to osteomyelitis. You recommend
the following adjunctive therapy in addition to local wound care and offloading to prevent an
additional major amputation:
A. Hyperbaric oxygen therapy (HBOT)
, CWCN Practice Questions with Complete Solutions
B. Whirlpool treatments
c. A low-grade compression stocking
d. Total contact casting Correct Ans-A. Hyperbaric oxygen therapy (HBOT)
A patient and her husband present to the clinic with a lateral lower leg ulcer. The patient's
Ankle Brachial Index (ABI) = 0.5. The spouse tells the clinician that the wound has always
healed in the past with an Unna Boot dressing on the affected leg, changed weekly. You reply:
A. This will be an appropriate compression dressing to help the wound heal
B. The medicated zinc in the wrap is known to heal arterial ulcers
C. It is important to visualize the ulcer more than once a week
D. Zinc application to the periwound will help prevent infection Correct Ans-C. It is
important to visualize the ulcer more than once a week
A 73-year-old patient presents with a weeping wound on the right leg gaiter region with
associated long-standing lower leg edema. The patient reports leg pain that worsens during
, CWCN Practice Questions with Complete Solutions
the day. In discussing treatment recommendations with the patient, the CWCN provides
education that:
A. Solo therapy with absorptive dressing is indicated.
B. Compression therapy assists with increased healing rates, improved symptoms, and
reduction of edema.
C. Limb elevation for extending periods throughout the day is the best method for edema
reduction
D. Pharmacotherapy with diuretics for fluid reduction is the best treatment option for edema.
Correct Ans-B. Compression therapy assists with increased healing rates, improved
symptoms, and reduction of edema.
The foot care nurse should describe the distal margin of superficial skin extending over the
base of the toenail as:
a. subungual
b. periungual
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