WCC-Final Exam Questions and Answers (Latest Update 2025), Exams of Nursing

Download WCC-Final Exam Questions and Answers (Latest Update 2025) and more Exams Nursing in PDF only on Docsity!

(Latest Update 2025)

Which of the following can disrupt the acid mantle? - Correct Answer ✅Use of alkaline soaps What is the function of melanin? - Correct Answer ✅UV radiation protection Other than the skin, what two organs are part of the metabolic pathway for the production of Vitamin D? - Correct Answer ✅Liver and kidney What term is used to describe to temperature maintenance by the body? - Correct Answer ✅Thermoregulation What environmental element is needed for the skin to produce Vitamin D? - Correct Answer ✅UV rays What is the outermost, superficial layer of the epidermis? - Correct Answer ✅Stratum corneum How would you characterize the vascularity of the epidermis?

• Correct Answer ✅Not vascularized

(Latest Update 2025)

Which cell in the epidermis divides into two daughter cells? - Correct Answer ✅Keratinocytes What protein is responsible for making the epidermis tough? - Correct Answer ✅Keratin What layer of the skin is affected when a blister forms? - Correct Answer ✅Basement membrane zone How would you characterized the vascularity of the dermis? - Correct Answer ✅Highly vascularized What layer of the skin contains nerves, sweat glands, and hair follicles? - Correct Answer ✅Reticular layer What cells of the dermis have a role in blood clotting after injury? - Correct Answer ✅Mast cells

(Latest Update 2025)

Upon admission to a facility, when should the comprehensive skin assessment be conducted for patients at risk for pressure injuries? - Correct Answer ✅Within 8 hours What type of light should you avoid when conducting a skin assessment? - Correct Answer ✅Fluorescent light Studies have found that depression and other psychological distresses can have a negative effect on what phase of wound healing? - Correct Answer ✅Inflammatory The most important skill of a wound expert is: - Correct Answer ✅Assessment of wounds A channel or pathway extending from the wound into subcutaneous tissue or muscle is called: - Correct Answer ✅Tunneling One potential etiology of a wound in the skin folds is: - Correct Answer ✅Moisture exposure

(Latest Update 2025)

One potential etiology of a rounded, elliptical wound is: - Correct Answer ✅Pressure When using the clock method for measurement of a wound on the patient's foot, what location represents 6 o'clock? - Correct Answer ✅Toes In what order do you document wound measurements? - Correct Answer ✅Length x width x depth Which of the following demonstrates appropriate tunneling or undermining documentation? - Correct Answer ✅0.5 cm of undermining noted from 10:00-3: How would you document yellow, stringy tissue that is easily separated from the wound base? - Correct Answer ✅Non- adherent slough present in wound base Which of the following BEST describes stable eschar tissue? - Correct Answer ✅Intact and firmly adherent to wound base

(Latest Update 2025)

What type of exudate is normally present during the acute inflammatory phase of healing? - Correct Answer ✅serous How would you define the amount of exudate in a wound that is very moist but less than 25% of the bandage is saturated? - Correct Answer ✅Minimal You should assess at least how much of the peri-wound skin?

• Correct Answer ✅4 cm What term would you use to describe wound edges that are flush with the wound bed but are indistinct and diffuse? - Correct Answer ✅Undefined and attached Upon assessment you notice a dry, tough, scaly, callus-like wound edge. What term would you use to describe these characteristics? - Correct Answer ✅Hyperkeratotic What term is used to describe peri-wound skin that is a palpable fluid-filled cavity with a wavelike motion? - Correct Answer ✅Fluctuance

(Latest Update 2025)

For how long are maggots typically left on the wound? - Correct Answer ✅48 hours Wounds with street maggot infestation should be soaked for 20 minutes in a combination of what solution and saline? - Correct Answer ✅Hydrogen peroxide 3% Your patient presents with an irregular, shallow wound to the posterior calf with 75% granulation tissue and 25% slough and moderate levels of exudate. What type of wound does this MOST likely represent? - Correct Answer ✅Venous ulcer Pain associated with venous insufficiency is likely to be described as: - Correct Answer ✅Dull aching that worsens with dependency and is relieved with elevation What is the compression level when therapeutic compression is the goal of treatment? - Correct Answer ✅30-42 mmHg

(Latest Update 2025)

What types of wounds are staged? - Correct Answer ✅Pressure injuries When should you stage a pressure injury as unstageable? - Correct Answer ✅When the true depth of tissue destruction cannot be visualized A patient presents with a non-blanchable dark purple discoloration on their left heel that is boggy and warm. How would you describe this condition? - Correct Answer ✅Deep tissue pressure injury How would you stage a pressure injury with muscle observable in the wound bed? - Correct Answer ✅Stage 4 Platelet activation and aggregation occurs when platelets encounter what substance from damaged tissue? - Correct Answer ✅Collagen

(Latest Update 2025)

What process during the hemostasis phase prevents clot extension and dissolves the clot? - Correct Answer ✅Fibrinolysis What cell plays a critical role in the development of granulation tissue during the proliferative phase? - Correct Answer ✅Fibroblasts What type of wound closure is associated with a minimal risk of infection? - Correct Answer ✅Primary intention During which phase of healing is the wound re-epithelialized or closed? - Correct Answer ✅Proliferative During what phase does scar tissue gradually convert from type III collagen into type I collagen? - Correct Answer ✅Maturation What type of dressing is associated with a reduction in the temperature of the wound? - Correct Answer ✅Gauze

(Latest Update 2025)

What type of cleansing agent would be preferable when local infection is suspected? - Correct Answer ✅Antimicrobial solution Which treatments are indicated for herpes zoster? - Correct Answer ✅Calamine lotion, oatmeal bath, antiviral medications What are the caloric needs for wound healing? - Correct Answer ✅30-35 kcal/kg What does a BMI of 27.2 indicate? - Correct Answer ✅Overweight What are the protein requirements for wound healing? - Correct Answer ✅1.2-1.5 g/kg/day What nutrient is important for the development and stability of cell membranes and is active in various aspects of the inflammatory response to injury? - Correct Answer ✅Fats

(Latest Update 2025)

Which condition results from the malabsorption of Vitamin B12? - Correct Answer ✅Pernicious anemia What nutrient is important in hemoglobin for transport of oxygen? - Correct Answer ✅Iron QUESTION 79 OF 110 You are treating a chronic wound that you suspect is stuck in the inflammatory phase due to high levels of MMPs. What is the BEST topical treatment option at this point? - Correct Answer ✅Collagen Which of the following topical treatments would be MOST appropriate for a wound with dead space and scant exudate?

• Correct Answer ✅Impregnated hydrogel What is the longest time an alginate should be left in the wound? - Correct Answer ✅7 days

(Latest Update 2025)

Which topical treatment for burns has excellent eschar penetration? - Correct Answer ✅Mafenide acetate (Sulfamylon®) What does an ABI value of 1.42 indicate? - Correct Answer ✅Non-compressible arteries Which topical treatment should be used cautiously on diabetic foot ulcers? - Correct Answer ✅Hydrocolloids What type of compression appliance is used for lifelong compression or the compression for life phase? - Correct Answer ✅Compression stockings The stress hormone response to surgery in a patient with diabetes results in: - Correct Answer ✅Increased insulin resistance and glucose How many days post-op will a healing ridge under the suture line become evident? - Correct Answer ✅5-9 days

(Latest Update 2025)

What is the etiology of calciphylaxis? - Correct Answer ✅Excessive calcium deposited in the microvascular system What are the effects of electrical stimulation on wound tissue? - Correct Answer ✅Reduces pain and improves scar tissue elasticity Medicare reimburses for electrical stimulation after appropriate standard wound care has been tried for at least: - Correct Answer ✅30 days Which of the following MUST be documented related to an incision? - Correct Answer ✅Status of incision line and healing ridge What is the primary purpose of documentation? - Correct Answer ✅To communicate and establish the basis of care decisions What are the two purposes of using pulsed lavage? - Correct Answer ✅Irrigation and debriding

(Latest Update 2025)

In which of the following support surfaces are the use of hand checks appropriate to assess for bottoming out? - Correct Answer ✅Low air loss overlay What risk factor MUST be present for a pressure injury to develop? - Correct Answer ✅Mobility and/or activity limitations What type of debridement would be MOST beneficial for a hyperkeratotic rim on a neuropathic foot ulcer? - Correct Answer ✅Sharp conservative In which of the following situations would debridement be contraindicated? - Correct Answer ✅Stable eschar on the heel In which of the following situations would autolytic debridement be appropriate? - Correct Answer ✅Pressure injury with 25% slough and 75% granulation tissue

(Latest Update 2025)

Which of the following assessment findings would lead you to suspect pyoderma gangrenosum as the wound etiology? - Correct Answer ✅Irregular, jagged, violet/blue wound margins What cleansing solution can be used to control odor in a wound on a patient receiving palliative care? - Correct Answer ✅Dakin's solution