ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A patient presents to the emergency department with a laceration of the right forearm caused by a fall. After determining that the patient is stable, what is the next best step for the nurse to take?
Correct Answer: A
Rationale: Post-stabilization, bleeding , per the flashcards, is the next focus, as lacerations may hemorrhage, requiring control. Options B-D are missing, but bleeding precedes foreign body checks or tetanus. Nurses ensure hemodynamic stability, making this the correct step.
Question 2 of 5
Which health care team member will the nurse consult when a patient has received a nursing diagnosis of Impaired skin integrity?
Correct Answer: B
Rationale: Nutrition aids healing. A dietitian , per the flashcards, optimizes protein and calories for skin repair. Respiratory therapists address breathing. Case managers plan discharge. Chaplains offer spiritual care. This collaboration enhances recovery, making it the correct consult.
Question 3 of 5
The nurse is caring for a patient who is immobile and is at risk for skin impairment. The plan of care includes turning the patient. Which is the best method for repositioning the patient?
Correct Answer: B
Rationale: Lifting with a transfer device , per the flashcards, avoids shear and friction, protecting skin during repositioning. Supine 30-degree isn't ideal lateral is better. Elevating 45 degrees increases shear. Sliding damages skin. This method ensures safety, making it the correct choice.
Question 4 of 5
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
Correct Answer: D
Rationale: A Braden score of 23 , per the flashcards, is perfect, indicating no risk across all subscales. From 15 (moderate risk), 12 and 13 are worse. 20 is improved but not optimal. This score confirms success, making it the correct sign.
Question 5 of 5
The nurse is discussing the importance of regular exercise with a client diagnosed with hypertension. The client responds, 'I just don't have the time for exercise.' The nurse determines that the client has which time orientation?
Correct Answer: B
Rationale: Time orientation affects health behavior. A present time orientation , per cultural frameworks, prioritizes now over future benefits (e.g., exercise for hypertension), as the client focuses on immediate constraints. Past orientation clings to tradition. Future orientation plans ahead. Lack of orientation isn't a standard term. Nurses adjust education to this mindset, making it the correct orientation.