NCWO Wound Assessment

Question 1

Which wound characteristic is assessed using the PUSH tool (Pressure Ulcer Scale for Healing)?

Accepted Answer

Surface area, exudate, and tissue type

Answer

Color, odor, and temperature

Answer

Depth, undermining, and tunneling

Answer

Periwound skin, pain, and edema

Question 2

A wound measuring 4 cm long and 3 cm wide has a surface area of how many square centimeters?

Accepted Answer

12 cm²

Answer

7 cm²

Answer

14 cm²

Answer

3.5 cm²

Question 3

Tunneling in a wound is best described as:

Accepted Answer

A channel extending from the wound into surrounding tissue

Answer

Tissue destruction beneath intact skin adjacent to the wound

Answer

Full-thickness tissue loss exposing bone or tendon

Answer

Separation of wound edges after closure

Question 4

Which tissue type in a wound bed indicates active healing and should be protected?

Accepted Answer

Granulation tissue

Answer

Slough

Answer

Eschar

Answer

Fibrin

Question 5

When documenting wound location on the body, the WOC nurse should use which reference system?

Accepted Answer

Anatomical position with directional terms

Answer

Patient's own description of location

Answer

Clock method only

Answer

Wound color classification

Question 6

Periwound maceration is caused by:

Accepted Answer

Prolonged exposure of surrounding skin to wound moisture

Answer

Excessive wound dryness and desiccation

Answer

Bacterial colonization of the wound edge

Answer

Pressure from an ill-fitting dressing