Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is indicative of level two foot care?

1. Long, thick toenails and corns

2. Normal sensation and skin

3. Annual assessment and education

4. Referrals for skin disorders

The correct answer is: Long, thick toenails and corns

Level two foot care typically involves more complex and specific issues that require intervention due to underlying health concerns, often related to diabetes or other chronic conditions. The presence of long, thick toenails and corns suggests that the individual is experiencing issues that might impede proper foot care and hygiene, which can lead to further complications such as infections or ulcerations. This choice highlights the need for proactive management to prevent complications, making it indicative of a higher level of care. The focus here is on addressing visible problems that could be symptomatic of underlying conditions, which is a key aspect of level two foot care, as it emphasizes the need for targeted evaluation and treatment. The other choices reflect aspects of maintenance or lower levels of intervention. Normal sensation and skin indicate that there are no immediate concerns requiring level two care. Annual assessments and education are more appropriate for level one foot care, focusing on prevention rather than addressing existing conditions. Referrals for skin disorders may be part of the broader management plan but typically signal an even higher level of specialized care, rather than the patient’s current level two status.