ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A hospitalist is experiencing a busier than usual day... [Details of morphine error]... This approach is most likely to result in which of the following?
Correct Answer: D
Rationale: Blaming individuals stifles safety culture. Firing the nurse and retraining the hospitalist , per the test, ignores system issues (e.g., understaffing, CPOE flaws), fostering silence, per Reason's Swiss Cheese model. Hiring or CPOE errors aren't addressed. Nurses won't challenge orders in a punitive setting. This approach misses systemic fixes like workload balance, reducing error reporting, making it the correct outcome.
Question 2 of 5
A nurse is providing care to a client and has enlisted the help of a trained interpreter to assist in communicating with the client. Which action would the nurse take?
Correct Answer: B
Rationale: Interpreters must focus on language. Speaking privately to limit to interpretation , per the rationale, aligns with CLAS Standards, ensuring accuracy without advice. Apps miss nuance. Continuing unchecked risks errors. Documenting falsely misrepresents. This upholds client autonomy and communication rights, making it correct.
Question 3 of 5
A client has a wound with a moderate amount of drainage and is scheduled for a dressing change. Which dressing, if selected by the student nurse, requires further intervention by the nursing instructor?
Correct Answer: D
Rationale: Drainage needs absorption. Semipermeable film , per wound care guidelines, suits minimal exudate, not moderate, risking leakage and infection. Foam and alginate absorb well. Hydrocolloid manages light-to-moderate but seals less effectively here. The instructor intervenes to ensure proper exudate management, critical for healing, making this the dressing needing correction.
Question 4 of 5
The registered nurse (RN) directs the licensed practical nurse (LPN) to assist with the care of a client who has a sacral pressure injury. Which is the most appropriate activity for the RN to delegate to the LPN?
Correct Answer: A
Rationale: LPN scope includes basic care. Positioning , per nursing delegation standards (e.g., NCSBN), suits LPN skills, aiding pressure relief. Initiating protocols or determining plans (Choice D, incomplete) require RN judgment. Meeting (Choice C, incomplete) is vague but likely RN-level. Delegation optimizes care safely, making this the most appropriate activity.
Question 5 of 5
A client has a venous ulcer on the lower leg that is treated with compression therapy. The nurse instructs the client to elevate the leg above the level of the heart whenever possible. What is the rationale for this instruction?
Correct Answer: A
Rationale: Choice A is correct because elevating the leg above the heart reduces edema and venous pressure, which is the primary rationale for this instruction in managing a venous ulcer. Venous ulcers stem from chronic venous insufficiency, causing blood pooling, increased pressure, and swelling in the lower legs. Elevation leverages gravity to enhance venous return to the heart, alleviating these issues and supporting healing. Increasing arterial blood flow and oxygenation is more relevant to arterial ulcers, where elevation might worsen perfusion by countering gravity's aid to arterial flow. Preventing infection and inflammation is critical but not directly tied to elevation; it relies more on wound care practices like cleansing and dressings. Stimulating nerve regeneration and sensation is unrelated to venous ulcers or elevation, as neuropathy isn't a primary concern here. Thus, reducing edema and venous pressure best explains the benefit of elevation in this context.