ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
In the inflammatory phase of wound healing, this type of white blood cell is involved:
Correct Answer: C
Rationale: Neutrophil,' as neutrophils are the primary white blood cells in the inflammatory phase of wound healing. They arrive first (within hours), phagocytosing bacteria and debris to prevent infection, peaking early in this phase. 'Leukocyte' is a broad term including all white cells (neutrophils, macrophages), but the question seeks specificity neutrophils dominate initially. 'Macrophage' arrives later, clearing debris and aiding repair, but isn't first. 'A and B' is too vague, missing neutrophils' primacy. In nursing, recognizing neutrophils' role guides infection monitoring elevated counts signal inflammation. The inflammatory phase's early focus on bacterial defense highlights C, distinguishing it from broader or later-acting cells.
Question 2 of 5
In caring for patients with pressure injuries, which task would be most appropriate to assign to the nursing assistant?
Correct Answer: C
Rationale: Nursing assistants (NAs) handle basic care under supervision. Repositioning every 2 hours is ideal preventing pressure injury worsening, within NA training, and per protocols like NPUAP guidelines. Dietary choices require nutritional knowledge beyond NA scope. Determining wound care is an RN/LPN task needing clinical judgment. Describing wounds involves assessment, reserved for licensed staff. Repositioning is a safe, effective NA duty, reducing LPN workload while supporting healing, making it the most appropriate and correct assignment.
Question 3 of 5
Which statement, made by an LPN/LVN during a patient interaction, indicates a therapeutic response?
Correct Answer: C
Rationale: Therapeutic responses promote patient expression and trust. 'Are you saying your cast is uncomfortable? Tell me more' uses clarification and open-ended questioning, encouraging elaboration per communication standards. Sharing personal loss shifts focus to the nurse. Suggesting ointment is directive, not therapeutic. Relating to surgery dislike assumes feelings. Choice C aligns with patient-centered care, aiding assessment and emotional support, making it the correct therapeutic statement.
Question 4 of 5
A student is deciding between different nursing educational programs for a future management role. Which would be the best choice?
Correct Answer: C
Rationale: Management roles require leadership and critical thinking, best developed in a baccalaureate nursing program (BSN) (Choice C), per AACN standards. Nurse practitioner focuses on advanced practice, not management. Associate degree prepares RNs for bedside care, less leadership. Practical/vocational trains LPNs for technical roles, not management. BSNs offer courses in administration and policy, preparing nurses for supervisory positions, making it the correct choice for this goal.
Question 5 of 5
It is important to assess a patient's actual cultural beliefs because:
Correct Answer: A
Rationale: Individual beliefs vary within cultures. A patient may not adhere to typical cultural health beliefs e.g., rejecting herbal remedies per patient-centered care principles. Self-perception is influenced but secondary. Family beliefs aren't always shared. Diversity is true but broad. Assessing actual beliefs ensures tailored care (e.g., refusing pork-based meds), making it the correct and most practical reason.