ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A nurse is planning illness prevention activities for patients. The best activity would be:
Correct Answer: B
Rationale: Prevention focuses on avoiding illness onset. Vision screenings detect issues early (e.g., glaucoma), aligning with primary prevention per CDC guidelines. Wound dressing is treatment, not prevention. Referrals and prenatal care are valuable but secondary or specific. Screenings proactively reduce disease burden across populations, a key nursing role, making it the correct and most effective prevention activity.
Question 2 of 5
In discussing options for fluid resuscitation during major surgery, bloodless surgery may include which intervention?
Correct Answer: B
Rationale: Bloodless surgery avoids transfusions. Volume expanders e.g., saline replace fluid without blood, per surgical protocols. Epogen boosts red cells pre-op, not during. Hypothermia preserves oxygen, not fluid-focused. Banking blood implies transfusion, contradicting bloodless aims. Expanders maintain circulation, a common LPN-monitored intervention, making this the correct and most relevant option.
Question 3 of 5
After same-day surgery, the patient is ready to go home when:
Correct Answer: B
Rationale: Discharge post-same-day surgery requires stability. Alertness, ambulation, and bladder emptying confirm recovery per ambulatory surgery guidelines ensuring safety home. A driver is logistical, not readiness. Pain control and nausea resolution are partial. Full function (mental, motor, urinary) is the standard, an LPN discharge check, making it the correct criterion.
Question 4 of 5
To promote wound healing, you instruct the patient to eat foods high in protein. Which choice warrants further teaching?
Correct Answer: A
Rationale: Protein aids wound healing (collagen synthesis). Caesar salad with bread lacks significant protein, per nutrition guidelines, needing reteaching. Tuna (Choice B), cheese (Choice C), and chicken provide protein (10-20g/serving). Salad's low protein (lettuce, dressing) fails healing needs, an LPN dietary focus, making it the correct choice for further instruction.
Question 5 of 5
During an assessment, you note fever, fatigue, weakness, cold and clammy skin, nausea, vomiting, and diarrhea. The body is fighting infection by:
Correct Answer: B
Rationale: These signs fever, clammy skin, nausea reflect inflammation (Choice B), the body's initial infection fight, per pathophysiology. Antigen-antibody is specific immunity, later. Interferon targets viruses. Acquired immunity develops over time. Inflammation vasodilation, cytokine release causes symptoms, an LPN observation, making it the correct response.