ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
A 25-year-old patient complains of moderate incision pain post-morphine IV. The most appropriate action after injection is:
Correct Answer: B
Rationale: Post-IV morphine (peak 20-30 min), encouraging rest enhances relief, per pain protocols, calming the patient. Evaluating in 2 hours delays 30 min is standard. Distraction is adjunct, not primary. Ibuprofen overlaps unnecessarily. Rest leverages morphine's effect, an LPN step, making it the correct action.
Question 2 of 5
For which type of healing will the nurse focus the care plan for a patient who has experienced a laparoscopic appendectomy?
Correct Answer: D
Rationale: A laparoscopic appendectomy, with small, clean incisions, heals by primary intention (Choice D), per the text, where edges are approximated, minimizing infection risk and scarring. Partial-thickness repair is for shallow wounds. Secondary intention suits open, tissue-loss wounds. Tertiary intention delays closure. Primary intention's quick healing guides nurses to monitor for infection and support closure, making this the correct focus for care planning.
Question 3 of 5
Which assessment data will be most important for the nurse to gather with regard to wound healing?
Correct Answer: B
Rationale: Pulse oximetry measures oxygen saturation, vital for wound healing, per the text, as oxygen fuels cellular repair. Muscular strength and sensation assess mobility and nerve function, not healing directly. Sleep aids recovery but isn't specific. Adequate oxygenation (e.g., >90%) prevents hypoxia-related delays, making this the correct priority data for nurses to gather.
Question 4 of 5
Which action will the nurse take next if a wound drain's collection device shows a sudden decrease in drainage?
Correct Answer: A
Rationale: A sudden drainage drop suggests blockage (Choice A), per the text, requiring provider notification for intervention. Charting delays action. Compression doesn't confirm patency. Nurses don't remove drains (Choice D). Prompt reporting prevents complications like fluid buildup, making this the correct next step.
Question 5 of 5
Which intervention is most important to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?
Correct Answer: D
Rationale: Pain limits mobility, increasing ulcer risk. Analgesics (Choice D), per the text, boost willingness and ability to move, reducing pressure. Explaining risks educates but doesn't enable. Turning every 3 hours is too infrequent (2 hours is standard). Sitting helps but lacks pain focus. Pain relief is key, making this the correct intervention.