ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is caring for a patient who has a Stage IV pressure ulcer with grafted surgical sites. Which specialty bed will the nurse use for this patient?
Correct Answer: B
Rationale: Air-fluidized beds , per the flashcards, redistribute pressure via immersion, protecting Stage IV grafts. Low-air-loss prevents moisture. Lateral rotation aids lungs. Standard mattresses lack support. This bed optimizes healing, making it the correct choice.
Question 2 of 5
The nurse is performing a moist-to-dry dressing. In which order will the nurse implement the steps, starting with the first one? (1. Apply sterile gloves, 2. Cover and secure topper dressing, 3. Assess wound and surrounding skin, 4. Moisten gauze with prescribed solution, 5. Gently wring out excess solution and unfold, 6. Loosely pack until all wound surfaces are in contact with gauze)
Correct Answer: B
Rationale: Moist-to-dry dressing sequence, per nursing practice, starts with sterile gloves (1) for infection control , then assesses wound (3), moistens gauze (4), wrings out (5), packs (6), and secures (2). Starting with moistening (Choices A, C) skips sterility. Moistening before assessing is illogical. This order ensures safety and efficacy, making it the correct sequence.
Question 3 of 5
The nurse is cleansing a wound site. Which intervention should the nurse include when cleansing the wound site?
Correct Answer: A
Rationale: Cleansing from least to most contaminated (implied with Choice A), per nursing practice, prevents infection spread, using clean gauze/gloves. Options B-D are missing, but vigorous scrubbing or reverse flow don't fit. This standard ensures safety, making it the correct intervention.
Question 4 of 5
A nurse who works with clients from different cultures wants to understand the invisible elements of culture. Which is an example of an invisible cultural element?
Correct Answer: A
Rationale: Invisible cultural elements shape behavior subtly. Notions of time , per cultural competence models (e.g., Giger and Davidhizar), vary like punctuality versus fluidity and influence care (e.g., appointment adherence). Clothing , foods , and language are visible. Nurses must grasp invisible aspects to avoid miscommunication, as time perception affects trust and compliance, making this the correct example.
Question 5 of 5
The nurse is discussing risk factor modification with a client diagnosed with hypertension. Which client statement does the nurse recognize as representing an external locus of control?
Correct Answer: B
Rationale: Locus of control reflects agency. My fate has already been determined' , per health psychology, shows an external locus, attributing health to outside forces (e.g., destiny), common in some cultures. Choices C and D reflect internal control (personal action). Choice A is factual, not attitudinal. Nurses adapt teaching to this belief, making it the correct statement.