ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a patient who has a wound drain with a collection device. The nurse notices that the collection device has a sudden decrease in drainage. Which action will the nurse take initially?
Correct Answer: A
Rationale: A sudden drainage drop suggests blockage. Calling the provider (implied Choice A), per nursing practice, is initial to address patency. Options are missing, but charting or ignoring don't fix it. Nurses escalate promptly, making this the correct initial action.
Question 2 of 5
When caring for a group of patients, which task can the nurse delegate to the nursing assistive personnel (AP)?
Correct Answer: B
Rationale: NAPs handle routine tasks. Applying a gauze bandage , per the flashcards, is within their scope, securing dressings safely. Assessing risk , treating ulcers , and negative-pressure therapy require RN judgment. This delegation is appropriate, making it the correct task.
Question 3 of 5
The patient appears anxious as the nurse is preparing to change their wound dressing. Which action should the nurse take?
Correct Answer: B
Rationale: Explaining the procedure , per the flashcards, reduces anxiety by informing and empowering the patient. TV distracts but doesn't address fear. Closing eyes avoids engagement. Waiting for family delays care. This therapeutic approach calms, making it the correct action.
Question 4 of 5
The nurse is providing care to a client who follows a holistic medicine approach to health care. Which aspect of care should the nurse anticipate when developing a plan of care for this client?
Correct Answer: C
Rationale: Holistic medicine views health as interconnected. Balancing physical and mental needs aligns with this, per nursing frameworks, emphasizing mind-body harmony (e.g., stress reduction alongside medication). Fate-guided decisions reflect fatalism, not holism. Aggressive treatment contradicts holistic gentleness. Statistical data suits evidence-based care, not client-centered holism. Nurses anticipate integrating therapies like meditation with medical care, respecting the client's philosophy, making this the correct aspect.
Question 5 of 5
The nurse is assessing a migrant worker who has abdominal pain. Which of the following questions should the nurse include as part of a culturally sensitive assessment?
Correct Answer: B
Rationale: Culturally sensitive assessments explore traditional practices. Asking about medications, herbs, or home treatments , per transcultural nursing, captures migrant workers' potential use of folk remedies alongside conventional care. OTC meds is narrow. Causal beliefs are useful but less immediate. Manager's opinion is irrelevant. This question ensures holistic data, making it the correct choice.