ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 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 2 of 5
The nurse is discussing the importance of regular exercise with a client diagnosed with hypertension. The client responds, 'I just don't have the time for exercise.' The nurse determines that the client has which time orientation?
Correct Answer: B
Rationale: Time orientation affects health behavior. A present time orientation , per cultural frameworks, prioritizes now over future benefits (e.g., exercise for hypertension), as the client focuses on immediate constraints. Past orientation clings to tradition. Future orientation plans ahead. Lack of orientation isn't a standard term. Nurses adjust education to this mindset, making it the correct orientation.
Question 3 of 5
A nurse is caring for a client from a different cultural background who is experiencing chronic pain. The nurse asks the client, 'Mr. Smith, I would like to understand how you generally manage pain or if you have any preferences for pain management. Could you please share with me any cultural practices or approaches that you or your family find helpful in managing pain?' The nurse's approach is most closely aligned with which of the following models?
Correct Answer: B
Rationale: Leininger's theory focuses on culturally congruent care, exploring practices like pain management preferences, as in this question. Giger and Davidhizar assesses six phenomena (e.g., communication), less specific here. Purnell is broader. Peplau is relational, not cultural. This aligns with Leininger's emphasis, making it the correct model.
Question 4 of 5
A nurse caring for an older client learns that the client finds peace and comfort in a personal spiritual practice and aims to incorporate this into the plan of care. How can incorporating traditions and personal views in the plan of care demonstrate empathy to the individual's life experience?
Correct Answer: C
Rationale: Empathy honors client values. Demonstrating respect for spiritual practices , per nursing ethics, validates the client's life experience (e.g., prayer), enhancing well-being. Compromising beliefs misframes empathy. Ignoring practices contradicts care. Costs are unrelated. This shows cultural humility, making it the correct action.
Question 5 of 5
The nurse is assessing a client who lives in an area described as a food desert. The nurse identifies that the client is therefore at risk for which disorder?
Correct Answer: A
Rationale: Food deserts lack fresh food access, increasing reliance on processed, calorie-dense options. Obesity , per public health data, is a primary risk in such areas due to poor nutrition, linking to social determinants of health. Parkinson's , multiple sclerosis , and COPD aren't directly tied to food access. Nurses assess this risk to tailor education (e.g., affordable healthy choices), aligning with cultural competence models addressing environmental barriers, making this the correct disorder.