ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
According to Campinha-Bacote's 'Process of Cultural Competemility in the Delivery of Healthcare Services' model, which question by a nurse represents the 'A' in the mnemonic 'A-S-K-E-D' for self-examination?
Correct Answer: A
Rationale: A' is awareness in ASKED. Asking about prejudices and 'isms' , per Campinha-Bacote, initiates self-examination of biases (e.g., racism) impacting care. Choice B (skill), C (knowledge), and D (encounters/desire) are later steps. This starts competemility, making it the correct question.
Question 2 of 5
By which group is the use of HCAHPS mandated?
Correct Answer: B
Rationale: HCAHPS is a federal mandate. CMS , per the test, requires it since 2006 for Medicare hospitals, linking scores to payment. Boards or states may encourage. ACGME focuses on education. CMS enforcement ensures standardized patient experience data, making it the correct group.
Question 3 of 5
A nurse is admitting a client to the unit. Which cultural question is most appropriate?
Correct Answer: A
Rationale: Culturally respectful care seeks client input. Asking about dietary needs and preferences aligns with transcultural nursing (e.g., Leininger's model), capturing specifics like kosher or halal diets, fostering trust. Choice B assumes standard food fits, ignoring culture. Choice C is narrow, missing preferences. Choice D is incomplete and unclear due to OCR error, likely irrelevant. Per nursing standards, open-ended questions ensure individualized care, respecting beliefs (e.g., fasting practices), making this the most appropriate question.
Question 4 of 5
The nurse is monitoring a wound in a dark-skinned client for signs of erythema. How would the nurse best determine the presence of erythema?
Correct Answer: D
Rationale: Erythema in dark skin isn't always red. Palpating for increased temperature , per wound assessment texts (e.g., Potter & Perry), detects inflammation reliably, as color changes may appear ashen or purple. Drainage indicates infection, not erythema. Swelling is secondary. Dark skin requires tactile cues over visual, ensuring accurate monitoring for complications like infection, making this the best method.
Question 5 of 5
A client is recovering and the nurse would encourage the client to eat which food item that is naturally high in vitamin C to promote wound healing?
Correct Answer: B
Rationale: Vitamin C aids collagen. Oranges , per nutrition science, are high in vitamin C (~70mg/fruit), boosting wound repair. Milk offers protein, not C. Bananas provide potassium. Chicken supports protein, not C. Encouraging citrus enhances healing, per dietary guidelines, making this the correct food.