ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
A physician is interested in leading a hospital goal to reduce the incidence of in-hospital catheter associated urinary tract infections (CAUTI). Although the change process will require all the steps below, which is the best first step?
Correct Answer: C
Rationale: Change needs buy-in. Asking leaders for advice , per the test and Kotter's model, secures support and aligns priorities (e.g., CAUTI reduction), avoiding resistance. Volunteers or research come later. Benchmarking informs, not initiates. Engaging leaders first ensures resources and direction, making it the correct first step.
Question 2 of 5
The nurse is caring for a client with a Penrose drain from an abdominal incision. Which is an appropriate nursing intervention for this client?
Correct Answer: B
Rationale: Penrose drains are passive. Measuring drainage , per nursing protocols, tracks output accurately, aiding fluid balance assessment. Safety pins secure but aren't sterile post-insertion. Suction or squeezing applies to active drains (e.g., Jackson-Pratt), not Penrose. Quantifying drainage informs care (e.g., infection risk), making this appropriate for this drain type.
Question 3 of 5
The registered nurse is observing a newly hired nurse perform a dressing change on a client with a leg ulcer. An enzymatic agent is being used to treat the ulcer. Which observation, if made by the registered nurse, would indicate a need for further teaching with the newly hired nurse?
Correct Answer: B
Rationale: Enzymatic agents need moisture. Wrapping with gauze , per wound care protocols, traps the agent, risking healthy tissue damage; it should stay exposed or loosely covered. Saline cleansing and necrosis application are correct. Open air aligns with use. Further teaching ensures debridement efficacy, making this the incorrect action.
Question 4 of 5
A nurse is evaluating the effectiveness of negative pressure wound therapy (NPWT) on a client with a chronic wound. Which of the following outcomes would indicate that the therapy is successful?
Correct Answer: B
Rationale: as decreased drainage indicates successful negative pressure wound therapy (NPWT). NPWT uses a vacuum to remove excess fluid, debris, and infectious material from the wound, reducing drainage, edema, and bacterial load while promoting blood flow and granulation tissue formation key signs of healing. An increase in wound size suggests worsening or tissue damage, countering NPWT's goal of wound closure. Increased pain could indicate complications like infection or improper application, not success, as NPWT should enhance comfort by reducing inflammation. Decreased granulation tissue would signal poor healing, as NPWT aims to stimulate this tissue's growth, not diminish it. Decreased drainage aligns with NPWT's mechanism of action, reflecting effective fluid management and progression toward wound recovery.
Question 5 of 5
A nurse is evaluating a client's response to negative pressure wound therapy (NPWT). Which outcome indicates that the therapy is effective?
Correct Answer: A
Rationale: Decreased edema in the wound area is the correct answer, as it shows negative pressure wound therapy (NPWT) is working effectively. NPWT applies suction to remove excess fluid, reducing swelling, improving circulation, and fostering a healing environment by decreasing edema. Increased drainage would suggest NPWT isn't managing fluid properly, as it should reduce, not increase, exudate. Decreased granulation tissue indicates poor healing, as NPWT aims to boost this tissue's growth, not diminish it. Increased eschar reflects failure, as NPWT should aid debridement, not promote necrotic tissue buildup. Reduced edema aligns with NPWT's mechanism enhancing blood flow and fluid removal making it a clear indicator of success in supporting wound recovery.