ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient had major surgery and is worried about home, coaching soccer, pain, and seeing their significant other. Which action would you take first?
Correct Answer: B
Rationale: Post-surgery, pain (addressed by Choice B) is a physiologic need per Maslow, impacting recovery and distress. Reassuring about home dismisses feelings. Soccer coaching or calling the significant other are psychosocial, secondary to pain control. Administering meds (if ordered) reduces pain, stabilizes vitals, and enables further care, aligning with LPN priorities and patient comfort, making it the correct first action.
Question 2 of 5
During major surgery, the patient is considered at risk for:
Correct Answer: A
Rationale: Prolonged positioning risks pressure injuries or nerve damage during surgery, per perioperative nursing. Fasting is short-term, not primary. Hypervolemia is possible but monitored. Hypertension isn't fluid-driven typically. Immobility's physical harm is a top intra-op concern, LPNs note in recovery, making it the correct risk.
Question 3 of 5
You know that an older adult patient who had open reduction and internal fixation of the right femur is at risk for infection. A desired result of interventions would be that the:
Correct Answer: D
Rationale: Infection prevention post-ORIF targets no wound infection (Choice D), per surgical outcomes, reflecting effective care (e.g., antibiotics). Fever limit is a sign, not result. Reporting signs is action, not outcome. Aseptic understanding is education. No infection is the ultimate goal, an LPN aim, making it the correct result.
Question 4 of 5
You are admitting a patient with an infected abdominal wound with MRSA. Appropriate nursing care includes:
Correct Answer: A
Rationale: MRSA requires infection control. Monitoring temperature and WBC tracks infection, per nursing standards, as fever/leukocytosis signal spread. Intake/output is unrelated. Respiratory precautions fit TB, not MRSA (contact). Hallway ambulation risks transmission. Temp/WBC monitoring guides treatment, an LPN task, making it the correct care.
Question 5 of 5
The need for protective isolation is being explained to the patient who asks, 'How can I hug my children?' An appropriate response would be:
Correct Answer: C
Rationale: Protective isolation shields immunocompromised patients. Explaining microbial risk and immune weakness justifies restrictions, per patient education, fostering understanding. Glass door or intercom are logistics, not reasons. Time reassurance is vague. Clarity on infection risk supports compliance, an LPN role, making it the correct response.