Autolytic debridement Correct Ans--Using the body's enzymes and WBCs to debride the
wound
-Requires secondary dressing covering (hydrocolloids, alginates, hydrogels, and transparent
films)
A Certified Wound Care Nurse (CWCN) is teaching a hospital orientation for new nurse
graduates and is discussing prevention of pressure injuries. One nurse asks the CWCN about a
patient who developed a deep tissue injury 3 days after admission even after going to
extremes to relieve pressure. The CWCN takes this opportunity to teach the importance of
each assessment related to deep tissue injury development. What information can the CWCN
provide to the nurse? Correct Ans-Irreversible skin damage can occur within a few hours
but may not be visible for 2-5 days
A 45-year-old patient with paraplegia from a motor vehicle accident 3 years ago has stage 3
pressure injuries to the greater trochanters bilaterally. The patient was hospitalized secondary
, CWCN SAE Exam- Test Questions and Answers
to appendicitis and is preparing for discharge. Which outpatient referral should the Certified
Wound Care Nurse (CWCN) recommend FIRST at the visit? Correct Ans-Physical therapy for
wheelchair evaluation
A 25-year-old patient is alert and oriented with paraplegia and intact skin. When reviewing
the Braden Scale, the charted score for Friction & Shear is "Potential problem." The Certified
Wound Care Nurse (CWCN) assesses the patient to be working with physical therapy and
witnesses sliding from wheelchair to the bed with minimal assistance. Which factor makes
the score of "Potential Problem" a correct documentation for this patient? Correct Ans-
Requiring minimal assistance
How often should a transparent film dressing be changed when covering a dermal ulcer?
Correct Ans-Every 3-7 days or when fluid extends beyond wound edges
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