ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 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 2 of 5
Common sympathetic reactions to a stressor that occurs suddenly include:
Correct Answer: D
Rationale: Sudden stressors trigger the sympathetic'fight or flight' response. Pounding heart and rapid pulse occur as adrenaline boosts circulation, per physiology. Pupil constriction is parasympathetic. Saliva/tear increase opposes dry mouth from stress. Weak knees may happen but isn't universal. Heart rate elevation is a hallmark sign LPNs monitor, making this the correct and most consistent reaction.
Question 3 of 5
The nurse reinforces turning, coughing, and deep breathing to a preoperative patient. Which statement indicates a need for further instruction?
Correct Answer: B
Rationale: Turning, coughing, and deep breathing prevent pneumonia post-op.'Lying still' contradicts this immobility risks atelectasis, showing misunderstanding. Bracing with a pillow aids coughing. Pneumonia prevention is correct. Early ambulation helps, though'immediately' exaggerates. Staying still opposes respiratory clearance, needing reteaching, making it the correct statement for further instruction.
Question 4 of 5
While assessing a newly postoperative patient with temperature 104.9°F, BP 90/60, pulse 58, respirations 30, jaw rigidity, and dark urine, the priority action is:
Correct Answer: B
Rationale: These signs hyperthermia, hypotension, bradycardia, tachypnea, jaw rigidity, dark urine suggest malignant hyperthermia (MH), an anesthesia emergency. Notifying the surgeon is urgent, per MH protocols, for dantrolene administration. Relaxation or pain meds don't treat MH. Sponge bath delays critical care. Immediate reporting triggers life-saving intervention, an LPN priority, making it the correct action.
Question 5 of 5
Which measure would be appropriate when caring for a postoperative patient with a bulb suction wound drain?
Correct Answer: C
Rationale: Bulb suction (e.g., Jackson-Pratt) removes fluid. Compressing the bulb restores suction, per surgical care, preventing fluid buildup. Assessing patency and measuring drainage are key but ongoing. Rinsing with sterile water risks contamination not standard. Compression maintains function, an LPN duty, making it the correct and most immediate action.