NAWCO-AWCC Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives
- Analyze procedural concepts to obtain patient history:
- Review, investigate, and document the patient’s history
- current complaint and condition
- past medical
- surgical history
- medications
- allergies
- family history
- social history
- past wound history
- Evaluate patient’s physical, mental, and psychosocial status
- cognition
- overall skin condition
- circulatory
- respiratory
- neurological
- musculoskeletal
- urological
- gastrointestinal
- Read and interpret healing assessment tools and recommend clinical interventions as appropriate.
- Identify and reevaluate on an ongoing basis intrinsic factors and their potential impact on wound healing
- age
- bio-burden
- BMI
- co-morbidities
- allergies
- infection
- non-adherence
- nutrition/hydration
- mobility
- cultural beliefs
- blood flow
- tissue perfusion
- necrotic tissue
- cognitive impairment
- allergies and/or adverse reaction to treatment modalities
- Identify and reevaluate on an ongoing basis extrinsic factors and their potential impact on wound healing
- infection
- medications
- pressure
- mechanical insult
- exposure to moisture
- smoking
- stress
- radiation
- cytotoxic solutions
- bio-burden
- foreign body
- Identify circumstances indicating need for interdisciplinary consults.
- Identify and differentiate between wound types
- acute vs. chronic
- partial thickness vs. full thickness
- Identify and differentiate between wound classifications.
- Describe how wound etiology contributes to determining appropriate treatment.
- Describe and document wound assessment to include:
- location and size including presence of tunneling
- under-mining
- sinus tract(s)
- appearance of the wound bed:
- type of tissue
- color
- presence of underlying structures
- wound margins
- wound drainage:
- Type
- Amount
- Color
- Odor
- appearance of the periwound area.
- Read and interpret lab studies
- blood sugar
- prealbumin
- albumin
- complete blood count
- zinc level
- coagulation studies
- hemoglobin A1C
- transferrin
- indicate situations in which these tests and other adjunctive modalities should be recommended and/or addressed.
- Evaluate the patient’s current nutritional status
- intake pattern
- BMI
- physical constraints limiting the patient’s ability to receive nutrition
- inability to use utensils
- impaired or unable to swallow
- inability to chew solid food
- Considering wound type
- overall patient status
- cost
- identify the most appropriate type of dressing
- topical
- Wound treatment
- alginates
- antimicrobial
- collagen
- composites
- contact layers
- foams
- growth factors
- hydrocolloids
- hydrogels
- special absorptives
- transparent films
- wound fillers
- impregnated gauze
- silicon
- bioengineered tissues
- cadaver
- porcine
- autologous grafts
- Considering wound type
- overall patient status
- cost
- identify the most appropriate type of pressure redistribution strategy:
- mattresses
- low air loss
- air fluidized
- alternating air
- foam, gel
- powered
- non-powered
- reactive vs non reactive
- cushions
- air
- foam
- gel
- alternating (air))
- mattress overlays
- low air loss
- alternating air
- foam
- gel
- specialty beds
- bariatric
- air fluidized
- lateral rotation
- Considering wound type, overall patient status, and cost
- identify the most appropriate type of wound bed preparation
- selective debridement types
- autolysis
- enzymatic
- biosurgical
- nonselective debridement types
- mechanical
- sharp/surgical
- chemical
- bacterial balancing (cleansing))
- Considering wound type, overall patient status, and cost
- identify the most appropriate type of adjunctive therapy
- ultrasounds
- diathermy
- electrical stimulation
- monochromatic therapy
- magnet therapy
- negative pressure therapy
- radiant therapy
- acupuncture
- laser
- total contact casting
- edema management
- compression therapy
- support stockings
- bandages
- pumps
- massage
- hyperbaric
- topical growth factors
- surgical
- Considering wound type
- identify adjunctive modalities
- determine use
- length of use
- indications and contraindication of the modalities
- how the products/treatments can be used in conjunction with other treatments and modalities.
- Identify and differentiate between signs and symptoms of wound infection and different levels of wound contamination.
- Identify signs and symptoms of complications and differentiate among complications that can occur in a wound
- infection
- hemorrhage
- dehiscence
- evisceration
- fistula
- Identify and address educational needs of the patient, healthcare team members, and/or family/support network
- Identify and address critical elements of a discharge/transitional plan for patient and family.
- Identify appropriate billing strategies and supporting documentation to mitigate denials.
- Demonstrate an understanding of the ethical aspects of wound care
- HIPAA
- informed consent
- advance directives
- IRB
- clinical trials
- research
- dissemination of findings
- patient’s preferences
- cultural
- religious
- personal beliefs
- Provide documentation throughout the process that complies with legal and institutional requirements and expectations for clear, concise, legible, and consistent documentation.
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NAWCO-AWCC PDF Sample Questions
NAWCO-AWCC Sample Questions
Question: 1
Which of the following settings is an acceptable setting for the use of negative pressure wound therapy (NPWT)?
A. Home
B. Long-term care facility
C. Clinic
D. Hospital
Answer: D
Explanation: Negative pressure wound therapy (NPWT) can be used in various settings, including hospitals. It requires specialized equipment and expertise for application and monitoring, making it suitable for use in hospital settings where healthcare professionals can provide comprehensive wound care.
Question: 2
Which credentials are legally necessary for the application of advanced wound care treatments?
A. AWCC certification
B. Basic First Aid certification
C. CPR certification
D. Medical Assistant certification
Answer: A
Explanation: The AWCC (Advanced Wound Care Certified) certification is legally necessary for individuals performing advanced wound care treatments. This certification ensures that the healthcare professional has acquired the necessary knowledge and skills to provide specialized wound care interventions.
Question: 3
What is the purpose of applying legal and institutional guidelines for accurate wound care documentation?
A. To ensure compliance with billing codes
B. To justify the need for additional diagnostics
C. To facilitate communication among healthcare providers
D. To protect the patient's privacy and confidentiality
Answer: D
Explanation: Applying legal and institutional guidelines for accurate wound care documentation helps protect the patient's privacy and confidentiality. It ensures that the patient's personal health information is handled appropriately and securely, in compliance with applicable laws and regulations.
Question: 4
Which of the following wound types is characterized by the presence of black, necrotic tissue?
A. Arterial ulcers
B. Venous ulcers
C. Pressure ulcers
D. Diabetic foot ulcers
Answer: C Explanation: Pressure ulcers, also known as bedsores, are characterized by the presence of black, necrotic tissue. They occur due to prolonged pressure on the skin, typically over bony prominences, leading to tissue ischemia and subsequent necrosis.
Question: 5
Can other wound care products be used in conjunction with a hydrogel dressing?
A. Only if the wound is dry, other products may be used.
B. No, hydrogel dressings should be used as a standalone treatment.
C. Only if the wound is infected, other products may be used.
D. Yes, hydrogels can be used in combination with other dressings.
Answer: D
Explanation: Hydrogel dressings can be used in conjunction with other wound care products, such as foam dressings or compression wraps, depending on the specific wound characteristics and treatment goals. Combining different dressings can help optimize wound healing outcomes.
Question: 6
What is the minimum/maximum length of use for an alginate dressing?
A. 1-3 days
B. 3-7 days
C. 7-14 days
D. 14-21 days
Answer: B Explanation: Alginate dressings are designed to be used for a maximum of 3-7 days. These dressings are highly absorbent and are indicated for moderately to heavily exuding wounds. They form a gel-like substance when in contact with wound exudate, promoting a moist wound environment conducive to healing.
Question: 7
A patient with a non-healing wound and signs of infection should undergo which of the following additional diagnostics?
A. Magnetic resonance imaging (MRI) and biopsy
B. X-ray imaging and ultrasound
C. Complete blood count (CBC) and wound culture
D. Electrocardiogram (ECG) and pulmonary function tests
Answer: C
Explanation: When a non-healing wound shows signs of infection, it is important to perform a complete blood count (CBC) to assess for elevated white blood cell count and wound culture to identify the specific infecting microorganisms. These diagnostics help guide appropriate antimicrobial therapy and treatment decisions.
Question: 8
When determining the rationale behind the use of negative pressure wound therapy (NPWT), which of the following benefits should be considered?
A. Increased bacterial colonization
B. Enhanced granulation tissue formation
C. Prolonged inflammatory response
D. Delayed wound healing
Answer: B
Explanation: Negative pressure wound therapy (NPWT) promotes enhanced granulation tissue formation. By applying controlled negative pressure to the wound bed, NPWT stimulates blood flow, removes excess fluid, and promotes the formation of healthy granulation tissue, which is essential for wound healing.
Question: 9
When analyzing wound measurements and characteristics to substantiate the use of a specific treatment, which of the following factors is most important to consider?
A. Patient's age
B. Wound duration
C. Wound depth
D. Patient's nutritional status
Answer: C
Explanation: Wound depth is a crucial factor in determining the appropriate treatment for a wound. It helps in selecting the right interventions, such as choosing dressings with appropriate absorptive capacities or considering surgical debridement if necessary.
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