ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Following a sentinel event, your healthcare organization convenes a group to perform a root cause analysis (RCA). Which of the following components of the meeting is most important for a successful RCA?
Correct Answer: C
Rationale: RCA success hinges on open dialogue. A safe environment , per the test, encourages participants to share freely, per Joint Commission guidelines, identifying root causes (e.g., system flaws) without fear. Leadership supports but isn't core. Confidentiality is key but secondary to safety. Physician convenience aids attendance, not depth. Safety fosters a no-blame culture, critical for uncovering truths like staffing issues, making this the correct component.
Question 2 of 5
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?
Correct Answer: C
Rationale: The client is the cultural expert. Per the rationale provided, the client knows their own beliefs best, per Giger and Davidhizar's model, guiding care (e.g., spiritual practices). Nurses and providers gather data, not define it. Family supplements, not overrides. Recognizing the client as expert ensures patient-centeredness, avoiding assumptions, making this the correct choice.
Question 3 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 4 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 5 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.