Free CWOCN Practice Test Questions

A 42-year-old woman with a history of fibromyalgia presents to the clinic with a non-healing surgical wound on her left shoulder after a recent arthroscopic procedure. She reports experiencing significant sleep disturbances due to pain and anxiety. Considering the impact of sleep on wound healing, which of the following interventions would be most effective in promoting her wound healing process?

A 78-year-old female patient with advanced dementia and a stage III pressure ulcer on her hip is nearing end-of-life. The healthcare team is discussing care priorities. What is the most ethically appropriate action when considering wound management for this patient?

A 55-year-old man with limited mobility due to a recent cerebrovascular accident presents with a shallow wound on his right heel that has not shown signs of healing despite standard care. His skin is fragile, and he is prone to developing pressure ulcers. Considering his condition, which intervention would be most appropriate to promote wound healing in this patient?

A 62-year-old male patient with a recent urostomy is experiencing consistent appliance detachment due to excessive sweating and increased physical activity. He is active and participates in golf regularly. What recent advancement in ostomy pouching systems would be most appropriate to address this issue and enhance the patient's quality of life?

A 56-year-old male with a colostomy due to colorectal cancer is experiencing frequent diarrhea, which has led to skin irritation around the stoma. He has learned about the potential benefits of probiotics in managing gastrointestinal symptoms. Which of the following is most appropriate regarding the use of probiotics to enhance gut health in this patient?

A 47-year-old male with a history of chronic kidney disease on hemodialysis presents with an infected surgical wound on his arm, where a recent arteriovenous fistula was created. Despite antibiotic treatment, the infection persists, and there is erythema and tenderness around the site. Which of the following interventions is most appropriate for managing this patient's condition?

A 59-year-old woman with an ileostomy complains of severe abdominal pain and swelling around the stoma site, which developed suddenly. During the examination, the stoma is retracted and the surrounding skin appears dusky. What is the most appropriate initial management step for this patient?

A 48-year-old female patient is scheduled for ostomy surgery as part of her treatment for diverticulitis. During her preoperative education session, she expresses concerns about how to care for the stoma site and prevent skin irritation. Which of the following should be a primary focus in her preoperative education to address these concerns?

A 72-year-old male patient with rheumatoid arthritis presents with a venous leg ulcer that has not improved significantly after 4 weeks of standard compression therapy. He is currently on methotrexate and prednisone for his condition. Considering the impact of new wound dressings on healing outcomes, which of the following products would be most appropriate to consider next for this patient?

A 64-year-old male with a history of lymphedema presents with a new wound on his lower extremity. The wound has a serous exudate and thickened skin edges, and the patient reports mild discomfort. On examination, the area surrounding the wound is indurated and shows hyperpigmentation. Which of the following interventions would be most appropriate to optimize wound healing in this patient?

A 38-year-old female with a newly created jejunostomy due to small bowel resection presents with electrolyte imbalances and dehydration. Despite efforts to manage her condition with oral rehydration solutions, she continues to experience significant fluid and electrolyte loss. The interprofessional team, including a dietitian, pharmacist, and nurse specializing in ostomy care, is meeting to develop a comprehensive management plan. Which intervention is most appropriate to prioritize in addressing this patient's fluid and electrolyte imbalances?

During a public health crisis, such as a pandemic, a 36-year-old female patient with a widespread burn injury requires adaptation to her wound care due to limited healthcare resources. Which of the following strategies would be most appropriate to ensure effective wound management under these conditions?

A 65-year-old male with a recent history of a total knee replacement surgery presents with signs of an infected surgical wound, including erythema, increased warmth, and purulent discharge. The wound is being managed with antimicrobial dressings. Which of the following is the best method to assess the efficacy of the antimicrobial dressing in controlling this infection?

A 32-year-old male with a newly diagnosed fecal incontinence due to a spinal cord injury is having difficulty managing his condition, leading to limited social interaction and feelings of embarrassment. Which of the following patient-centered interventions would be most effective in addressing his quality of life and promoting effective management?