ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A patient with chronic pain asks, 'What is a TENS unit?' The best nursing response is:
Correct Answer: B
Rationale: TENS (transcutaneous electrical nerve stimulation) uses skin electrodes to disrupt pain signals, per gate control theory.'Small electrical stimulus' accurately describes it, per nursing texts. Epidural is invasive, not TENS. Finger pressure is acupressure. Support misleads. Clear explanation aids use, an LPN response, making it the correct answer.
Question 2 of 5
Which patient will the nurse see first?
Correct Answer: C
Rationale: Prioritization follows ABCs and acuity. A patient with appendicitis using a heating pad is urgent heat risks rupture, per the text, threatening peritonitis. A Stage IV ulcer is serious but stable. A Braden score of 18 indicates low risk (cutoff 18). An approximated incision is normal healing. The appendicitis patient's immediate danger trumps chronic or stable conditions, making this the correct first priority for nurse intervention.
Question 3 of 5
Which finding will alert the nurse to a potential wound dehiscence in a postoperative patient?
Correct Answer: C
Rationale: Dehiscence separation of wound layers often presents with a patient sensing 'something has given way' (Choice C), per the text, especially after strain like coughing. Organ protrusion is evisceration, a later stage. Chronic drainage or purulent drainage may signal infection, not dehiscence directly. This patient report prompts urgent nurse assessment, making it the correct alert for potential dehiscence.
Question 4 of 5
What is the next best step for the nurse after determining a patient with a forearm laceration is stable?
Correct Answer: B
Rationale: Post-stabilization, bleeding is the priority, per trauma protocols, as lacerations may hemorrhage profusely, requiring control. Foreign bodies and size follow. Tetanus is later. Inspecting bleeding ensures hemodynamic stability, making this the correct next step for nurses.
Question 5 of 5
Which assessment is the priority when completing a skin integrity assessment?
Correct Answer: A
Rationale: Pressure points (Choice A), like bony prominences, are the priority, per the text, as they're prone to ulcers. Breath (Choice B), bowel (Choice C), and pulse sounds inform overall status but aren't skin-specific. Visual/tactile checks at pressure sites detect early damage, making this the correct focus.