NCWO Patient Education and Documentation 3

Question 1

A WOC nurse conducting a quality improvement (QI) project on pressure injury prevention should begin by:

Accepted Answer

Collecting baseline incidence and prevalence data to identify the scope of the problem

Answer

Implementing a new protocol without baseline data

Answer

Reporting to the state health department immediately

Answer

Replacing all mattresses on the unit first

Question 2

The difference between wound incidence and wound prevalence is:

Accepted Answer

Incidence measures new wounds in a period; prevalence measures all existing wounds at a point in time

Answer

Incidence and prevalence are synonymous terms used interchangeably

Answer

Prevalence measures only healed wounds; incidence measures active wounds

Answer

Incidence is reported per 1,000 patients; prevalence is reported as a percentage only

Question 3

The WOCNCB certification examination for CWON is best prepared for by:

Accepted Answer

Studying wound, ostomy, and continence care domains including assessment, management, and patient education

Answer

Memorizing drug doses and IV fluid calculations only

Answer

Focusing exclusively on surgical wound care and ignoring continence

Answer

Only reviewing employer-specific policies and procedures

Question 4

An evidence-based practice (EBP) wound care decision integrates:

Accepted Answer

Best research evidence, clinical expertise, and patient preferences and values

Answer

Only published research findings regardless of clinical context

Answer

Tradition and institutional habit as the primary guide

Answer

Cost considerations alone as the primary driver

Question 5

Under the WOC nursing scope of practice, which activity requires collaboration with or referral to a physician or advanced practice provider?

Accepted Answer

Ordering systemic antibiotics for a clinically infected wound

Answer

Performing a wound assessment and documenting findings

Answer

Teaching a patient dressing change technique

Answer

Selecting a wound dressing within the established care plan

Question 6

When a WOC nurse identifies that a patient's wound has not progressed in 2 weeks despite appropriate care, the priority action is:

Accepted Answer

Reassess all factors affecting healing, revise the wound care plan, and communicate findings to the provider

Answer

Continue the same treatment plan for another 2 weeks before reassessing

Answer

Discharge the patient from wound care services

Answer

Immediately apply a biological skin substitute without provider notification