WOCN WOUND EXAM 2024.2025
WOCN WOUND EXAM 2024.2025 WITH GUARANTEED ACCURATE ANSWERS |
VERIFIED
Goals of wound assessment - ACCURATE ANSWERS✔✔ 1.
Determine etiologic factors
2. Assess systemic factors/comorbidities
3. Assess wound to determine phase of healing
4. Determine goals of topical therapy
Why does hyperglycemia affect wound healing? - ACCURATE
ANSWERS✔✔ Impairs leukocyte function and negatively impacts
collagen syntehesis, development of tensile strength, epithelial
resurfacing
,What BG parameters should be maintained for wound healing? -
ACCURATE ANSWERS✔✔ BG <180 for leukocyte function; <140 for
healing
A1C <7 for most, <8 if hx of severe hypoglycemia, advanced
comorbidities, limited life expectancy
Why is nutrition relevant to wound healing? - ACCURATE
ANSWERS✔✔ Muscle or SubQ wasting increases risk of
pressure/shear damage
malnourished pt unable to synthesize and cross-link collagen normally
protein deficiency increases risk of infection
What effect do low zinc levels have on wound healing? - ACCURATE
ANSWERS✔✔ compromise collagen synthesis/crosslinking
What amino acids are essential for collagen synthesis?
What is the effect of stress on these amino acids? - ACCURATE
ANSWERS✔✔ Glutamine and l-arginine
Not adequately produced during times of physiologic stress
What weight trend suggests nutritional deficiency? - ACCURATE
ANSWERS✔✔ Unplanned weight loss =>2.5% of usual weight in 30
days or =>10% within 180 days
BMI <18.5
,What serum albumin level indicates malnutrition? - ACCURATE
ANSWERS✔✔ <3.5 g/dl
What serum transferrin level indicates malnutrition? - ACCURATE
ANSWERS✔✔ <100mg/dl
What serum prealbumin level indicates malnutrition? - ACCURATE
ANSWERS✔✔ <19.5
What total lymphocyte count level indicates malnutrition? -
ACCURATE ANSWERS✔✔ <1500
What are s/s of nutritional deficits? - ACCURATE ANSWERS✔✔ skin
rashes, cracks in mucous membranes, edema, muscle and subQ tissue
wasting, nonhealing wounds, dry/pluckable hair, dry flaky itchy skin
What is the suggested caloric intake? - ACCURATE ANSWERS✔✔ 30-
35 cal/kg body weight
What is the suggested protein intake? - ACCURATE ANSWERS✔✔
1.25-1.5 g/kg body weight
What is the suggested fluid intake? - ACCURATE ANSWERS✔✔ 30ml
per kg (unless fluid restriction indicated)
, How do you assess perfusion/oxygenation? - ACCURATE
ANSWERS✔✔ capillary refill, pulses, presence/absence of edema,
TcpO2 levels (at least 40), color of wound bed (bright pink/red), ABI for
lower extremity ulcers, systolic bp/episodes of hypotension, vasopressor
administration
How do you assess for immunosuppression? - ACCURATE
ANSWERS✔✔ Comorbidities/therapies such as HIV, steroid tehrapy in
doses >30mg/day for >30 days, and/or chemo resulting in neutropenia;
high dose NSAIDs
What comorbidities compromise wound healing? - ACCURATE
ANSWERS✔✔ renal failure, liver failure, multisystem trauma,
smoking, advanced age
What are the layers of the skin - ACCURATE ANSWERS✔✔
Epidermis
Basement Membrane Zone
Dermis
Subcutaneous Tissue
Muscle/Fascia/Bone
What are the layers of the epidermis? - ACCURATE ANSWERS✔✔
Stratum corneum - keratinocytes filled with keratin
Stratum lucidum - only in palms/soles, thick areas
Stratum granulosum - odland bodies secrete ceramides, lipophilic
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