ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
If dehiscence occurs, which step in the following list contains a mistake?
Correct Answer: D
Rationale: Obtain clean towels,' as it's a mistake in managing dehiscence a surgical wound reopening. Proper protocol requires sterile materials (e.g., saline-moistened sterile dressings) to cover the wound, preventing contamination, not just clean towels, which may harbor bacteria. 'Notify the physician' is correct urgent reporting is essential. 'All of the above have mistakes' is wrong, as A is valid. 'None of the above have mistakes' overlooks D's error. In nursing, sterility is critical in dehiscence to avoid infection or evisceration; clean towels fail this standard. The document lists 'Moisten towels with sterile 0.9% sodium chloride' separately, implying D's non-sterile intent is the flaw, making it the mistaken step.
Question 2 of 5
Which cultural custom would be important to understand when being introduced to a Hmong patient?
Correct Answer: A
Rationale: Hmong culture values respect in interactions. Eye lowering signals deference to authority, like healthcare providers, per cultural studies key for building trust. Touching the head is taboo, not honoring, as it's a sacred area. Verbal greetings vary, with handshakes often accepted. Agreeing out of courtesy happens but isn't unique to introductions. Understanding eye lowering avoids misinterpreting it as disengagement, aligning with culturally competent care per QSEN, making it the correct and most relevant custom.
Question 3 of 5
You find a confused patient with a history of falls attempting to get out of bed. To maintain the patient's self-esteem and safety, your intervention should be to:
Correct Answer: D
Rationale: For a confused patient with fall risk, ascertaining their need e.g., bathroom preserves dignity while addressing safety, per least-restrictive principles. Restraints limit autonomy, risking harm, and require orders. Sedatives sedate unnecessarily without addressing intent. Bed alarms alert but don't prevent falls proactively. Understanding the patient's goal allows redirection (e.g., assistance to toilet), balancing safety and self-esteem per LPN standards, making it the correct intervention.
Question 4 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 5 of 5
When setting priorities of patient needs according to Maslow's hierarchy, you should:
Correct Answer: B
Rationale: Maslow's hierarchy prioritizes survival. Airway status breathing is the top physiologic need, per nursing triage (ABC: airway, breathing, circulation). Physiologic needs alone are too broad. Safety follows survival. Self-esteem ranks below security. Airway obstruction kills fastest, so LPNs address it first (e.g., suctioning), aligning with emergency care standards, making this the correct priority.