ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A nurse, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
Correct Answer: C
Rationale: The Social Identity Wheel examines self. Assessing how the nurse's identity influences care , per cultural humility, reveals biases (e.g., race, class) affecting interactions. Client identity isn't the focus. Ignoring bias denies reflection. Confirmation assumes sensitivity. This promotes awareness, making it the correct purpose.
Question 2 of 5
Which of the following outcome measures is reported on the CMS Hospital Compare website?
Correct Answer: C
Rationale: CMS Hospital Compare reports standardized outcomes. 30-day MI mortality , per the test, is tracked per CMS, reflecting post-discharge care impact, publicly available since 2007. Rapid response activations and survival post-arrest are internal metrics, not CMS-reported. Follow-up within 2 weeks isn't a standard CMS outcome. This measure drives hospital accountability, linking to payment via value-based programs, making it the correct choice per CMS policy.
Question 3 of 5
By which group is the use of HCAHPS mandated?
Correct Answer: B
Rationale: HCAHPS is a federal mandate. CMS , per the test, requires it since 2006 for Medicare hospitals, linking scores to payment. Boards or states may encourage. ACGME focuses on education. CMS enforcement ensures standardized patient experience data, making it the correct group.
Question 4 of 5
A nurse is admitting a client to the unit. Which cultural question is most appropriate?
Correct Answer: A
Rationale: Culturally respectful care seeks client input. Asking about dietary needs and preferences aligns with transcultural nursing (e.g., Leininger's model), capturing specifics like kosher or halal diets, fostering trust. Choice B assumes standard food fits, ignoring culture. Choice C is narrow, missing preferences. Choice D is incomplete and unclear due to OCR error, likely irrelevant. Per nursing standards, open-ended questions ensure individualized care, respecting beliefs (e.g., fasting practices), making this the most appropriate question.
Question 5 of 5
The nurse is monitoring a wound in a dark-skinned client for signs of erythema. How would the nurse best determine the presence of erythema?
Correct Answer: D
Rationale: Erythema in dark skin isn't always red. Palpating for increased temperature , per wound assessment texts (e.g., Potter & Perry), detects inflammation reliably, as color changes may appear ashen or purple. Drainage indicates infection, not erythema. Swelling is secondary. Dark skin requires tactile cues over visual, ensuring accurate monitoring for complications like infection, making this the best method.