ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A large or open wound, such as a burn or major trauma, left alone to heal is:
Correct Answer: C
Rationale: Secondary intention,' as it describes large or open wounds, like burns or major trauma, left to heal naturally without edge approximation. These wounds, with significant tissue loss, fill in via granulation tissue and epithelialization from the base up, a slower process prone to scarring but suited for extensive damage. 'Primary intention' requires closed edges, impossible with large gaps. 'Delayed primary intention' involves eventual closure after initial openness, not leaving it alone entirely. 'Tertiary intention' also includes later surgical closure, not just natural healing. In nursing, secondary intention is key for managing burns dressings support granulation, not suturing. The question's focus on 'left alone' and large wounds aligns with C, distinguishing it from closure-based methods.
Question 2 of 5
Which of the following is within the role of the LPN/LVN?
Correct Answer: C
Rationale: The LPN/LVN scope, per the National Council of State Boards of Nursing (NCSBN), includes hands-on tasks like changing dressings (Choice C), which aligns with practical care on a med-surg unit. Admitting patients often involves initial assessments, typically an RN role. Assessing deterioration requires advanced judgment, reserved for RNs. Collaborating with therapists is possible but leans toward care planning, often RN-led. Changing dressings is a core LPN skill safe, routine, and within scope requiring skill and observation, making it the correct answer. LPNs focus on stable patients with predictable outcomes, supporting RNs, not initiating complex assessments or care plans.
Question 3 of 5
One way in which nurses apply National Patient Safety Goals to patients is to:
Correct Answer: B
Rationale: National Patient Safety Goals (NPSG) from The Joint Commission prioritize error prevention. Using two identifiers e.g., name and birth date before meds reduces misidentification, a top NPSG focus. Reporting infection is critical but not uniquely an NPSG action. Educating patients supports care, not a specific goal. Using lift equipment enhances safety but isn't med-related. Two-identifier checks directly address NPSG's medication safety priority, making it the correct and most aligned application.
Question 4 of 5
Inherent in any definition or philosophy of nursing are several core concepts. The core concept is:
Correct Answer: B
Rationale: Nursing's core, per ANA definitions, centers on restoring health healing and recovery from illness or injury. Promoting wellness and preventing illness are proactive, while facilitating coping supports adaptation. Restoring health is the essence across settings (e.g., med-surg, long-term care), encompassing assessment, intervention, and evaluation to return patients to baseline, making it the correct and most fundamental concept in nursing philosophy.
Question 5 of 5
Which statement best describes health?
Correct Answer: C
Rationale: Health, per WHO, is functioning well physically, mentally, and socially a dynamic state, not just absence of disease. Relative state is vague. Total well-being omits social aspects. Free of sickness is narrow, ignoring function. This holistic definition guides nursing assessments (e.g., ADLs, mood), making it the correct and most comprehensive description.