ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse documents the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?
Correct Answer: B
Rationale: Nonblanchable redness indicates poor perfusion, fitting Ineffective peripheral tissue perfusion' , per the flashcards. Nutrition , infection , and pain don't match. This targets circulation, making it the correct diagnosis.
Question 2 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 3 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 4 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.
Question 5 of 5
A newly admitted client from a Hispanic background is hesitant to communicate her symptoms and concerns to the health care team. Which of the following best describes the nurse's aim of conducting a cultural assessment for this client?
Correct Answer: B
Rationale: Cultural assessments enhance understanding. Promoting sensitivity and understanding , per nursing practice, addresses Hispanic cultural traits (e.g., respeto, familismo) behind hesitancy, improving care delivery. Language barriers and interventions are parts, not aims. Insisting ignores culture. This broad aim guides care, making it the correct choice.