ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 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.
Question 2 of 5
When teaching a patient to use an incentive spirometer, the patient's technique is correct if they are:
Correct Answer: C
Rationale: Incentive spirometry expands lungs, preventing atelectasis. Slow, deep breaths held 3 seconds maximize air volume, per nursing texts. Exhaling forcibly (Choices A, D) defeats inhalation focus. Five breaths hourly is frequency, not technique. Correct form slow inhale, hold ensures lung expansion, an LPN teaching point, making this the correct technique.
Question 3 of 5
On arrival from PACU, the patient complains of severe thirst, is restless, tachypneic, and tachycardic. You would likely suspect:
Correct Answer: A
Rationale: Thirst, restlessness, tachypnea, and tachycardia signal hypovolemia fluid loss (e.g., bleeding) post-op, per shock assessment. Cardiogenic shock includes cold, clammy skin, not thirst. Anesthesia response fades, not intensifies. Overdose slows respirations. Hypovolemia fits, needing fluid checks, an LPN alert, making it the correct suspicion.
Question 4 of 5
The patient is prescribed antiembolism stockings before discharge and asks, 'Why do I need these?' The best response would be:
Correct Answer: B
Rationale: Antiembolism stockings prevent DVT by aiding circulation.'They prevent clots' explains purpose clearly, per patient education standards. Surgeon's order avoids reasoning. Massage misrepresents function. Upset deflects. Accurate explanation empowers understanding, an LPN role, making it the correct and best response.
Question 5 of 5
When administering an ordered antimicrobial for an infection, you should check the laboratory results for:
Correct Answer: B
Rationale: Antimicrobials target specific pathogens. Culture and sensitivity identify the bug and effective drug, per pharmacology, guiding therapy. WBC shows infection but not treatment. CRP indicates inflammation, not specificity. Kidney/liver function monitors safety, not efficacy. C&S ensures right antibiotic, an LPN check, making it the correct lab result.