ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Imagine you are an ER nurse. Mr. Griffin has a large wound from a knife accident. Doctors let it heal on its own for days, then suture it later. What kind of wound healing has occurred?
Correct Answer: B
Rationale: Delayed primary intention,' as it fits Mr. Griffin's case: a large wound left open initially to heal naturally (allowing granulation and infection control), then sutured later. This method delays primary closure until the wound bed is stable, common for contaminated or traumatic injuries. 'Primary intention' involves immediate suturing, not waiting days. 'Tertiary intention' implies prolonged openness with later closure after significant healing, often for deeper wounds, but the question suggests a shorter delay. 'B and C' is incorrect only one process applies here. In nursing, delayed primary intention balances infection risk and closure, critical for trauma care. The sequence of open healing then suturing pinpoints B as the accurate description.
Question 2 of 5
What should be the first thing considered before delegating a specific task?
Correct Answer: B
Rationale: Delegation prioritizes safety and competence. Knowing the LPN/LVN scope is critical but applies to the delegator, not the first step for a task. Seeking approval or explaining comes after ensuring the delegatee's capability. Being aware of the nursing assistant's competency and experience is the first step, per ANA delegation principles, ensuring the task matches their skills (e.g., bathing, not wound care). This prevents errors, aligns with patient safety goals, and reflects practical nursing oversight, making it the correct priority before proceeding.
Question 3 of 5
The reason that Medicare will not pay for care for a deep vein thrombosis on a patient in the hospital after knee replacement is:
Correct Answer: B
Rationale: Medicare denies payment for preventable hospital-acquired conditions (HACs) under CMS policy. Deep vein thrombosis (DVT) post-knee replacement is an HAC if prophylaxis (e.g., anticoagulants) wasn't followed, deemed avoidable with proper care. Risk status doesn't negate prevention duty. Cost-cutting isn't specific to DVT. Private insurance isn't assumed. Preventability drives nonpayment, per CMS guidelines, making it the correct reason LPNs must ensure prophylaxis adherence.
Question 4 of 5
One main difference between a licensed practical/vocational nurse and a registered nurse (RN) is that the licensed practical/vocational nurse:
Correct Answer: D
Rationale: LPN/LVNs work under RN or physician supervision (Choice D), per NCSBN scope, focusing on stable patients. Giving meds is shared with RNs, not unique. Noninvasive procedures aren't exclusive LPNs do invasive tasks like injections. Patient load varies, not a defining difference. Supervision ensures LPNs implement care plans RNs design, reflecting their practical focus, making this the correct distinction.
Question 5 of 5
It is important that the nurse understand that certain cultural traits should be assessed in patients. Patients of Asian, African, and Hispanic descent should be assessed for:
Correct Answer: C
Rationale: Cultural traits influence health risks. Sickle cell anemia is prevalent in African descent (also some Hispanic, Asian groups), per genetic studies, requiring screening. Stomach cancer links to diet (e.g., Asian salted foods) but isn't universal. Retinopathy ties to diabetes, not ethnicity-specific. Lactose intolerance is common but less acute. Sickle cell's hereditary impact makes it a critical assessment, per cultural competence, making it the correct focus.