ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse caring for a patient with a pressure ulcer on the left hip that is black. Which next step will the nurse anticipate?
Correct Answer: C
Rationale: Black tissue is necrotic, requiring debridement (implied Choice C), per nursing standards, to remove infection and aid healing. Options are missing, but monitoring or drainage aren't next. Nurses anticipate this, making it the correct step.
Question 2 of 5
The nurse is caring for a patient at risk for skin impairment. Which initial action should the nurse take to decrease this risk?
Correct Answer: A
Rationale: Skin protection is first. Thorough drying after cleansing , per the flashcards, prevents moisture-related breakdown. Beds and pads are secondary. Moisture-retaining products increase risk. This foundational step aligns with nursing prevention, making it the correct initial action.
Question 3 of 5
Which is the best explanation for the nurse to provide when teaching the patient the reason for the binder after an open abdominal aortic aneurysm repair?
Correct Answer: D
Rationale: A binder supports the incision , per the flashcards, aiding healing during movement. Edema reduction is secondary. Dressing security is minor. Immobilization fits other contexts. This explanation clarifies purpose, making it the correct choice.
Question 4 of 5
Which action should the nurse take to communicate with a client from a culture that is different from their own?
Correct Answer: C
Rationale: Cross-cultural communication requires sensitivity. Paying attention to nonverbal cues , per nursing texts, decodes comfort or distress (e.g., gestures, posture) when verbal language differs. Touch or closeness may offend some cultures (e.g., high-context ones valuing space). Forcing eye contact ignores norms (e.g., respect via averted gaze in some groups). Nonverbal focus builds rapport safely, making this the correct action.
Question 5 of 5
The nurse anticipates that a client from a culture that values collectivism will utilize which concept when making a health care decision?
Correct Answer: B
Rationale: Collectivism emphasizes group harmony. Seeking community input , per cultural models, aligns with collective cultures (e.g., Asian or Hispanic) where family or elders guide decisions. Independent choice suits individualism. Mental health or options aren't collectivism-specific. Nurses anticipate this, making it the correct concept.