ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
An appropriate short-term outcome for a patient with acute pain after surgery would be:
Correct Answer: D
Rationale: Short-term outcomes are specific, measurable. Pain adequately controlled with PCA targets relief within hours, per SMART goals. PCA use is action, not outcome. Nurse assessment is process. Healing is long-term. Controlled pain reflects efficacy, an LPN aim, making it the correct outcome.
Question 2 of 5
Which type of healing will the nurse consider when planning care for a patient with a Stage IV pressure ulcer?
Correct Answer: B
Rationale: Stage IV pressure ulcers, with exposed bone or muscle, heal by full-thickness repair (Choice B), per the text, involving hemostasis, inflammatory, proliferative, and maturation phases due to deep tissue loss. Partial-thickness repair suits shallow wounds. Primary intention is for clean, closed incisions. Tertiary intention delays closure. Full-thickness healing addresses scar formation in severe ulcers, guiding nurses to plan debridement and grafting, making this the correct healing type for care planning.
Question 3 of 5
Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing after a total abdominal hysterectomy?
Correct Answer: D
Rationale: A bluish mass suggests a hematoma a complication from blood pooling under tissues, per the text, risking pressure on vessels. Pain and itching are normal post-op. Approximation indicates proper healing. Hematomas require nurse intervention (e.g., notification), making this the correct sign of a healing complication.
Question 4 of 5
Which statement by the patient with a Stage IV pressure ulcer indicates issues with self-concept?
Correct Answer: C
Rationale: Self-concept ties to body image. Requesting a bath and linen change due to an 'awful' state reflects distress over odor and drainage, per the text, hinting at shame. Weakness is physical. Going home and dinner are positive. This statement signals emotional impact, making it the correct indicator for nurses to address.
Question 5 of 5
Which health care provider's order will the nurse question for a clean, granulating Stage III pressure ulcer?
Correct Answer: B
Rationale: Dakin's solution is cytotoxic, harming granulation tissue, per the text, and should be questioned for a clean Stage III ulcer. Low-air-loss and hydrogel support healing. Dietitian consults aid nutrition. Noncytotoxic saline is preferred, making this the correct order to challenge.