ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient with osteoarthritis has daily right knee pain. This type of pain usually has the best result if treated by:
Correct Answer: B
Rationale: Osteoarthritis pain inflammatory, mechanical responds best to ibuprofen (Choice B), an NSAID reducing inflammation, per arthritis guidelines. Oxycodone is for severe pain, not first-line. Lyrica targets neuropathic pain. Prednisone is for flares, not daily. Ibuprofen balances efficacy and safety, an LPN med option, making it the correct treatment.
Question 2 of 5
How will the nurse stage a shallow open reddish, pink ulcer without slough on the right heel?
Correct Answer: B
Rationale: A shallow, reddish-pink ulcer without slough is a Stage II pressure ulcer (Choice B), per NPUAP staging, indicating partial-thickness loss of epidermis/dermis, often appearing as a blister or crater. Stage I is intact skin with redness. Stage III involves deeper fat exposure. Stage IV shows bone or muscle. The heel's description open, shallow, no slough fits Stage II's clinical presentation, requiring moisture-retentive dressings, making this the correct staging for nurses to document and treat appropriately.
Question 3 of 5
Which type of wound healing will the nurse consider when planning care for a patient in the burn unit?
Correct Answer: B
Rationale: Burns, with significant tissue loss, heal by secondary intention (Choice B), per the text, where the wound fills with scar tissue over time, increasing infection risk. Partial-thickness repair is for minor skin loss. Tertiary intention delays closure. Primary intention is for surgical wounds. Secondary intention's prolonged process requires nurses to manage infection and granulation, making this the correct healing type for burn care planning.
Question 4 of 5
What is the next best step for the nurse upon noticing an odor and purulent discharge with increased redness at a healing Stage III pressure ulcer site?
Correct Answer: A
Rationale: Odor, purulent discharge, and redness suggest infection. Completing a full assessment vitals, treatment, labs gathers data for accurate reporting, per the text, before notifying providers. SBAR notification follows assessment. Consulting wound care or the charge nurse is secondary. Comprehensive data collection ensures informed care escalation, making this the correct next step.
Question 5 of 5
Which specialty bed will the nurse use for a patient with a Stage IV pressure ulcer with grafted surgical sites?
Correct Answer: B
Rationale: Air-fluidized beds redistribute pressure via fluid-like immersion, per the text, ideal for Stage IV ulcers with grafts, protecting new tissue. Low-air-loss prevents moisture buildup. Lateral rotation aids pulmonary issues. Standard mattresses lack support. This bed enhances healing, making it the correct choice.