ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Evidence-based nursing is based on:
Correct Answer: C
Rationale: Evidence-based nursing integrates research, expertise, and patient values, but patient values and preferences ensure care aligns with individual needs, per EBP models like Iowa. Expertise and research are foundational, while critical thinking supports application. Patient-centeredness respecting beliefs (e.g., refusing blood) is a defining EBP pillar, making this the correct and most holistic basis for nursing decisions.
Question 2 of 5
Surgical risk factors include:
Correct Answer: A
Rationale: Surgical risks stem from conditions impairing healing or anesthesia tolerance. Obesity increases complications (e.g., infection, breathing issues), per perioperative guidelines. Malnutrition delays recovery but is less immediate. Age 51 isn't inherently risky elderly status (65+) is. Diabetes is significant but manageable. Obesity's broad impact (e.g., wound dehiscence) makes it a top concern LPNs monitor, making it the correct risk factor.
Question 3 of 5
While transferring to the surgical suite, the patient asks, 'Am I going to make it?' An appropriate response would be:
Correct Answer: C
Rationale: A therapeutic response addresses emotion.'You seem anxious. Tell me more' validates fear, encouraging expression per communication standards. Reassurance dismisses concern. Questioning surgeon discussion deflects. Surgeon experience sidesteps feelings. Exploring anxiety aids coping and assessment, an LPN skill, making it the correct and most supportive response.
Question 4 of 5
You know that care for a patient having spinal anesthesia differs from general anesthesia in that during recovery:
Correct Answer: B
Rationale: Spinal anesthesia blocks nerves regionally. Lower body flaccidity occurs post-op as motor function lags, per anesthesia texts, unlike general's full unconsciousness (Choice A). Eating waits for gag reflex return. Airway is less critical than with general. Flaccidity guides LPN positioning, making it the correct difference.
Question 5 of 5
Which patient statement indicates a need for further teaching regarding the use of a PCA pump?
Correct Answer: D
Rationale: PCA lets patients self-dose within limits.'Call a nurse when I need medication' misunderstands PCA autonomy, per pain management protocols, needing reteaching. Self-control (Choice A), limited amount (Choice B), and reporting poor control are correct. Misbelief in nurse dependency undermines PCA use, an LPN teaching point, making it the correct statement.