ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation related to the incision will indicate the patient is experiencing a complication of wound healing?
Correct Answer: D
Rationale: A swollen, bluish incision suggests a hematoma a healing complication, per the flashcards, from blood pooling under tissues, risking vascular pressure. Pain and itching are normal post-op. Approximation is expected. Nurses intervene for hematomas, making this the correct observation.
Question 2 of 5
The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?
Correct Answer: A
Rationale: Pressure points , per the flashcards, are priority, as bony prominences are ulcer-prone. Breath , bowel , and pulse sounds inform overall status, not skin. Nurses inspect these first, making this the correct priority.
Question 3 of 5
Which health care team member will the nurse consult when a patient has received a nursing diagnosis of Impaired skin integrity?
Correct Answer: B
Rationale: Nutrition aids healing. A dietitian , per the flashcards, optimizes protein and calories for skin repair. Respiratory therapists address breathing. Case managers plan discharge. Chaplains offer spiritual care. This collaboration enhances recovery, making it the correct consult.
Question 4 of 5
The nurse is caring for a patient who is immobile and is at risk for skin impairment. The plan of care includes turning the patient. Which is the best method for repositioning the patient?
Correct Answer: B
Rationale: Lifting with a transfer device , per the flashcards, avoids shear and friction, protecting skin during repositioning. Supine 30-degree isn't ideal lateral is better. Elevating 45 degrees increases shear. Sliding damages skin. This method ensures safety, making it the correct choice.
Question 5 of 5
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
Correct Answer: D
Rationale: A Braden score of 23 , per the flashcards, is perfect, indicating no risk across all subscales. From 15 (moderate risk), 12 and 13 are worse. 20 is improved but not optimal. This score confirms success, making it the correct sign.