WCC Practice Questions (2026) — Free Sample Questions with Answers

Answer: B

Arterial insufficiency ulcer: Arterial ulcers are typically on toes or lateral foot, punched out with a pale dry base, minimal exudate and diminished or absent pulses.

Venous insufficiency ulcer: Correct. The gaiter-area location, shallow irregular shape, heavy exudate, hemosiderin staining, edema and intact pulses are classic for venous disease.

Neuropathic diabetic ulcer: Neuropathic ulcers occur on plantar pressure points such as metatarsal heads, often with callus, not on the medial lower leg.

Medical device-related injury: Device-related injuries match the shape of a device; nothing in the history suggests a device at this site.

Venous ulcers: medial gaiter area, shallow, wet, irregular, with edema and hemosiderin staining; arterial ulcers: distal, punched out, dry, pale, with absent pulses.

Answer: B

Amorphous hydrogel: Hydrogels donate moisture and suit dry or minimally draining wounds; they would worsen maceration here.

Calcium alginate rope: Correct. Alginates absorb many times their weight in exudate, form a gel and can loosely fill cavities; a secondary dressing is required.

Transparent film: Films are non-absorptive and suit superficial wounds with little or no exudate; they cannot fill a cavity.

Hydrocolloid wafer: Hydrocolloids handle light to moderate exudate on shallow wounds and are not used to fill deep, heavily draining cavities.

Match the dressing to moisture: dry wound, add moisture (hydrogel); heavy exudate, absorb it (alginate, hydrofiber, foam); fill dead space loosely.

Answer: D

Neutrophils and macrophages clear bacteria and debris: Phagocytic clearance by neutrophils and macrophages occurs in the inflammatory phase in the first days after injury.

Platelets aggregate and a fibrin clot forms: Platelet aggregation and clot formation define hemostasis, the first phase of healing.

New capillaries and granulation tissue fill the wound: Angiogenesis and granulation tissue formation are features of the proliferative phase.

Type III collagen is replaced by stronger type I: Correct. Remodeling reorganizes collagen from type III to type I over months to years; the scar regains only about 80% of original tensile strength.

Healing phases: hemostasis (platelets, clot), inflammation (neutrophils then macrophages), proliferation (granulation, angiogenesis, epithelialization, contraction), maturation (collagen remodeling to about 80% strength).

Answer: C

Ask, 'Do you have any questions about this?': Closed questions often get a polite 'no' even when understanding is poor.

Give a detailed handout at a 12th-grade level: Patient materials should be written at about a 6th-grade level or lower; a handout alone does not confirm understanding.

Ask the caregiver to explain and show the steps: Correct. Teach-back with return demonstration lets the caregiver show understanding in their own words and actions.

Have the caregiver sign a teaching record form: A signature documents that teaching occurred, not that it was understood.

Use teach-back and return demonstration to confirm learning, and write materials in plain language at about a 6th-grade level.

Answer: D

3%: 3% counts only the 6 injuries present on admission (6/200).

6%: 6% is the facility-acquired prevalence: 12 hospital-acquired cases / 200.

18%: 18% treats the 18 patients as if out of 100 rather than 200.

9%: Correct. Overall prevalence = all patients with the condition at a point in time / population surveyed = 18/200 = 9%.

Prevalence counts all existing cases at one point in time; incidence counts new cases over a period among those initially free of the condition; facility-acquired rates exclude cases present on admission.

Answer: B

Turn the patient every 2 hours on a schedule: Turning addresses low mobility and activity scores, not continuous moisture from incontinence.

Gentle pH-balanced cleanser and a skin barrier: Correct. Prompt gentle cleansing with a no-rinse pH-balanced product and a barrier (e.g., dimethicone, zinc or polymer film) protects against moisture damage.

Several layers of absorbent pads under the hips: Layering pads traps moisture and heat and reduces the effectiveness of pressure-redistribution surfaces.

Scrubbing with soap and water after each episode: Alkaline soap and friction damage the skin barrier and raise the risk of incontinence-associated dermatitis.

Target interventions to the low Braden subscale: moisture, cleanse gently and protect with a barrier; mobility, reposition; nutrition, involve a dietitian.