ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
A characteristic of an unintentional wound is:
Correct Answer: D
Rationale: A and C,' as unintentional wounds are characterized by being accidental and often having clean edges, depending on the cause. 'Accidental' fits because unintentional wounds result from unplanned events like falls or cuts, not deliberate actions like surgery. 'Clean edges' applies to wounds from sharp objects (e.g., a knife slice), common in accidents, though not universal jagged edges can occur too. 'High risk for infection' isn't exclusive to unintentional wounds; it depends on contamination, not intent, and intentional wounds (e.g., surgical) can also get infected if mishandled. Combining A and C captures key traits without overgeneralizing infection risk. In nursing, recognizing these features aids assessment accidental wounds may need tetanus prophylaxis, and clean edges suggest primary closure potential. 'All of the above' (E) overstates infection specificity, making D the precise choice per wound classification principles.
Question 2 of 5
Which of the following is synonymous for 'pressure ulcer'?
Correct Answer: C
Rationale: All of the above,' as 'decubitus ulcer' and 'bedsore' are both synonyms for 'pressure ulcer.' All describe localized skin and tissue damage from prolonged pressure, often over bony prominences, common in bedridden patients. 'Decubitus ulcer' derives from Latin for 'lying down,' emphasizing position-related etiology. 'Bedsore' is a colloquial term for the same condition, highlighting its association with immobility. 'All of the above' captures their interchangeability in medical and lay contexts. 'None of the above' is incorrect terminology aligns across nursing texts. In practice, recognizing these terms ensures clear communication e.g., documenting 'decubitus ulcer' or educating families about 'bedsores.' C's inclusivity matches the question's intent, reflecting standard wound care vocabulary.
Question 3 of 5
Which cultural custom would be important to understand when being introduced to a Hmong patient?
Correct Answer: A
Rationale: Hmong culture values respect in interactions. Eye lowering signals deference to authority, like healthcare providers, per cultural studies key for building trust. Touching the head is taboo, not honoring, as it's a sacred area. Verbal greetings vary, with handshakes often accepted. Agreeing out of courtesy happens but isn't unique to introductions. Understanding eye lowering avoids misinterpreting it as disengagement, aligning with culturally competent care per QSEN, making it the correct and most relevant custom.
Question 4 of 5
You find a confused patient with a history of falls attempting to get out of bed. To maintain the patient's self-esteem and safety, your intervention should be to:
Correct Answer: D
Rationale: For a confused patient with fall risk, ascertaining their need e.g., bathroom preserves dignity while addressing safety, per least-restrictive principles. Restraints limit autonomy, risking harm, and require orders. Sedatives sedate unnecessarily without addressing intent. Bed alarms alert but don't prevent falls proactively. Understanding the patient's goal allows redirection (e.g., assistance to toilet), balancing safety and self-esteem per LPN standards, making it the correct intervention.
Question 5 of 5
Evidence-based nursing is based on:
Correct Answer: C
Rationale: Evidence-based nursing integrates research, expertise, and patient values, but patient values and preferences ensure care aligns with individual needs, per EBP models like Iowa. Expertise and research are foundational, while critical thinking supports application. Patient-centeredness respecting beliefs (e.g., refusing blood) is a defining EBP pillar, making this the correct and most holistic basis for nursing decisions.