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NAWCO-AWCC : NAWCO Advanced Wound Care Certified Exam

Nursing NAWCO-AWCC Questions & Answers

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Nursing


NAWCO-AWCC


NAWCO Advanced Wound Care Certified


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Question: 1391


A clinician is evaluating a patient with compromised blood flow due to peripheral vascular disease. Which assessment parameter should be prioritized to determine the severity of the patient’s condition and its potential impact on wound healing?


  1. Serum albumin levels

  2. Capillary refill time

    assessment scale


    er: B


    nation: Capillary refill time is a quick measure of blood flow and perfusion. Delayed capillar es poor blood circulation, which directly impacts wound healing capacity.


    ion: 1392


    a clinical trial on a novel wound care treatment, the researchers discover unexpected advers in a subset of participants. What is the most appropriate action for the researchers to take ing the dissemination of these findings?


    it until the trial is completed to report the findings cuss the findings only with the participants affected blish the findings without consulting the IRB mediately inform the IRB and halt the trial


    er: D


    nation: Immediate reporting to the IRB is crucial to ensure participant safety and ethical stan

    Body Mass Index (BMI)

  3. Pain


Answ


Expla y refill

indicat


Quest


During e

effects regard


  1. Wa

  2. Dis

  3. Pu

  4. Im


Answ


Expla dards,

allowing for a reassessment of the trial's risk-benefit ratio.


Question: 1393


A nurse is educating a patient about the use of hydrocolloid dressings for their wound management. Which statement should the nurse include to ensure proper understanding of the dressing's function?

  1. Hydrocolloids are used exclusively for dry wounds.

  2. Hydrocolloids should be changed daily.

  3. Hydrocolloids promote a moist environment that aids in healing.

  4. Hydrocolloids do not allow for gas exchange.


Answer: C



ion: 1394


essing a wound, you observe a 3 cm x 5 cm ulcer with a yellow slough covering the wound b dges are well-defined, and there is a slight odor. What does the presence of yellow slough in ing the healing process?


ection or necrosis nulation tissue formation althy epithelial migration

wound environment


er: A


nation: Yellow slough often indicates necrotic tissue or infection, which can hinder the heali and must be addressed in the treatment plan.


ion: 1395

Explanation: Hydrocolloid dressings promote a moist environment, which is beneficial for wound healing, contradicting the notion that they are only for dry wounds.


Quest


In ass ed.

The e dicate

regard


  1. Inf

  2. Gra

  3. He

  4. Dry


Answ


Expla ng

process


Quest


A patient with a chronic venous ulcer has been treated with compression therapy for several weeks, but the wound has not progressed toward healing. What additional treatment should be considered to optimize the healing process?


  1. Introduction of a topical antiseptic to prevent infection

  2. Change to a hydrogel dressing to maintain moisture

  3. Assessment of venous function and potential surgical intervention

  4. Increase in the frequency of dressing changes

Answer: C


Explanation: Assessing venous function and considering surgical interventions, such as vein stripping or endovenous laser therapy, may be necessary when chronic venous ulcers do not respond to conservative management like compression therapy.


Question: 1396


election of appropriate pressure redistribution strategies for a patient with a complex medic and multiple comorbidities, how does the use of lateral rotation beds contribute to overall p


reducing the risk of aspiration nhancing mobility

roviding continuous pressure relief improving patient comfort


er: C


nation: Lateral rotation beds provide continuous pressure relief by periodically redistributing which is essential for patients with complex medical histories at high risk for pressure ulce


ion: 1397


operative patient develops a hematoma at the incision site. Which of the following sympto most likely indicate that this hematoma is evolving into a more serious complication?


calized swelling and bruising sistent pain at the site

In the s al

history atient

care?


  1. By

  2. By e

  3. By p

  4. By


Answ Expla

weight, rs.


Quest


A post- ms

would


  1. Lo

  2. Per

  3. Fever and increased heart rate

  4. Minimal drainage from the incision


Answer: C


Explanation: The combination of fever and increased heart rate suggests a potential systemic infection or complications arising from the hematoma, necessitating prompt assessment.

Question: 1398


During a wound care meeting, a discussion arises about the use of alginates in managing wounds with heavy exudate. What critical aspect of alginates makes them particularly effective in such scenarios?


  1. They are non-adherent.

  2. They absorb moisture and gel upon contact with exudate.

  3. They provide a cooling effect.


    er: B


    nation: Alginates absorb moisture and form a gel when in contact with exudate, which is effe naging wounds with heavy drainage.


    ion: 1399


    ent from a different cultural background refuses a standard wound care treatment due to pers As a clinician, what is the best approach to respect the patient's preferences while ensuring

    priate care?


    vide alternative treatment options that align with their beliefs st on the treatment for the patient's well-being

    cument the refusal and proceed with the standard care

    er the patient to another clinician without further discussion


    er: A


    nation: Offering alternative treatment options shows respect for the patient's cultural beliefs a

    They enhance granulation tissue formation.


Answ


Expla ctive

for ma


Quest


A pati onal

beliefs. appro


  1. Pro

  2. Insi

  3. Do

  4. Ref


Answ


Expla nd

preferences while still aiming to provide effective wound care.


Question: 1400


A patient with a long-standing ulcer has been prescribed several medications. Which aspect of the medication history is critical to explore to understand its effects on wound healing?

  1. Dosage frequency

  2. Duration of each medication

  3. Side effects experienced

  4. Drug interactions Answer: D

Explanation: Understanding potential drug interactions is vital as they can adversely affect wound healing or the effectiveness of prescribed treatments.



ion: 1401


enario where a patient’s religious beliefs oppose certain medical treatments for wound care, nician's best approach to ensure ethical practice?


ucate the patient on the importance of the treatment

laborate with the patient to find compatible treatment options miss the beliefs if they contradict medical advice

cument the beliefs and proceed with the recommended treatment


er: B


nation: Collaborating with the patient respects their religious beliefs while finding a treatmen ith both the patient's values and medical needs.


ion: 1402


ent with a recent history of surgery has a blood sugar level of 140 mg/dL postoperatively. W ost appropriate action regarding their management?

Quest


In a sc what is

the cli


  1. Ed

  2. Col

  3. Dis

  4. Do


Answ


Expla t that

aligns w


Quest


A pati hat is

the m


  1. Initiate insulin therapy

  2. No action needed

  3. Increase oral hypoglycemics

  4. Monitor blood sugar levels only


Answer: A


Explanation: A blood sugar level of 140 mg/dL postoperatively may warrant insulin therapy to ensure


Question: 1403


Which aspect of patient education is crucial for promoting adherence to a wound care regimen, particularly in patients with chronic wounds?


importance of regular follow-ups

ar instructions on dressing changes and signs of infection role of family support in healing


er: C


nation: Clear instructions on dressing changes and recognizing signs of infection are essential ting adherence to the wound care regimen and preventing complications.


ion: 1404


of the following factors is likely to exacerbate the impact of smoking on wound healing in diabetic patients?


Poor glycemic control h protein diet

gular exercise equate hydration


er: A

  • The aesthetic benefits of healing

  • The

  • Cle

  • The Answ

    • Expla for

    promo


    Quest


    Which


    A.

    1. Hig

    2. Re

    3. Ad


    Answ


    Explanation: Poor glycemic control in diabetic patients can exacerbate the negative effects of smoking on wound healing, further impairing vascular and immune responses.


    Question: 1405


    What is the primary advantage of utilizing negative pressure therapy in the treatment of complex wounds, especially in terms of tissue management?

    1. Rapid closure of the wound

    2. Enhanced patient comfort

    3. Decreased need for dressing changes

    4. Promotion of granulation tissue Answer: D


    ion: 1406


    onsidering adjunctive therapies for a patient with a non-healing pressure ulcer, which optio be least effective in addressing the underlying pathology?


    gical intervention

    ema management through pumps perbaric oxygen therapy

    al contact casting er: D

    nation: Total contact casting is primarily effective for diabetic foot ulcers with pressure point uitable for pressure ulcers where the primary issue is pressure relief rather than offloading.


    ion: 1407


    wound assessment, determining the presence of tunneling is crucial. What is the best appro or tunneling accurately?

    Explanation: The primary advantage of negative pressure therapy is its ability to promote granulation tissue formation, which is essential for wound healing.


    Quest


    When c n

    would


    1. Sur

    2. Ed

    3. Hy

    4. Tot Answ

    Expla s and

    is not s


    Quest


    During ach to

    assess f


    1. Using a cotton swab to explore the wound edges

    2. Visual inspection alone

    3. Relying on patient feedback regarding pain

    4. Measuring the wound only in two dimensions


    Answer: A


    Explanation: Using a cotton swab to gently explore the wound edges allows for accurate detection of


    Question: 1408


    The application of alginate dressings in wound care presents unique advantages. However, what is a potential limitation of using alginates on dry, eschar-covered wounds?


    ey can cause maceration of surrounding skin. ey can lead to wound desiccation.

    ey may not adhere adequately to the wound bed. er: C

    nation: Alginates are not suitable for dry, eschar-covered wounds as they may draw moisture he wound, leading to desiccation and hindered healing.


    ion: 1409


    year-old female with a stage II pressure ulcer reports a recent decline in appetite and increase Which assessment would provide the most relevant information regarding her nutritional st


    mprehensive metabolic panel ay food diary

    Mini Nutritional Assessment (MNA) dy composition analysis


    er: C

  • They promote excessive moisture loss.

  • Th

  • Th

  • Th


    • Answ


    Expla away

    from t


    Quest


    A 74- d

    fatigue. atus?


    1. Co

    2. 3-d C.

    D. Bo


    Answ


    Explanation: The Mini Nutritional Assessment is specifically designed to identify malnutrition risk in the elderly and would provide relevant insights.


    Question: 1410


    A patient with a sacral ulcer reports significant discomfort when sitting for long periods. Which extrinsic factor should the nurse address to promote healing and prevent further tissue damage?

    1. Medication review

    2. Patient education on repositioning

    3. Dietary modifications

    4. Increased fluid intake


    Answer: B



    ion: 1411


    of the following factors should be closely monitored in patients with chronic wounds to ev tential impact of external moisture on healing?


    type of wound dressing used wound’s exudate characteristics patient’s dietary habits patient’s pain levels


    er: B


    nation: Monitoring the characteristics of wound exudate helps assess moisture levels and dete propriate management strategy to prevent complications such as maceration.


    ion: 1412

    Explanation: Educating the patient on the importance of regular repositioning is vital in preventing further pressure damage and promoting healing of the sacral ulcer.


    Quest


    Which aluate

    the po


    1. The

    2. The

    3. The

    4. The


    Answ


    Expla rmine

    the ap


    Quest


    What is a common clinical sign that indicates increased bio-burden in a wound?


    1. Bright red granulation tissue

    2. Healthy keratinocyte migration

    3. Decreased wound size

    4. Presence of purulent drainage Answer: D

    Explanation: The presence of purulent drainage is a common clinical sign of increased bio-burden, indicating potential infection that could complicate healing.


    Question: 1413


    What role does ethical consideration play in the management of patients who have advanced directives regarding their wound care?


    equires healthcare providers to respect and adhere to the patient's wishes as outlined in their ce directives

    llows healthcare providers to override patient preferences if they believe it’s in the patient's


    secondary to medical necessity and urgency of treatment only relevant in end-of-life care scenarios


    er: A


    nation: Ethical principles dictate that healthcare providers must honor advance directives and patients’ preferences regarding their care.


    ion: 1414


    a research study, a participant withdraws consent after experiencing discomfort with a wou ure. What is the researcher’s ethical obligation in this situation?


    spect the participant's decision and discontinue their involvement empt to persuade the participant to continue

    cument the discomfort but continue the study with the remaining participants port the participant's withdrawal to the funding agency

  • It r advan

  • It a best

    interest

  • It is

  • It is


    • Answ Expla

    respect


    Quest


    During nd care

    proced


    1. Re

    2. Att

    3. Do

    4. Re


    Answer: A


    Explanation: Respecting the participant's decision to withdraw consent is a fundamental ethical obligation, ensuring their autonomy and comfort are prioritized.


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