ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is caring for a patient who is immobile and wants to decrease the formation of pressure ulcers. Which action will the nurse take first?
Correct Answer: C
Rationale: Prevention starts with assessment. Determining risk factors , per the flashcards, identifies vulnerabilities for tailored care. Fluids and nutrition support later. Turning follows risk ID. This ensures effective planning, making it the correct first action.
Question 2 of 5
The nurse is caring for a postoperative patient recovering from a medial meniscus repair of the right knee. Which action should the nurse take to assist with pain management?
Correct Answer: D
Rationale: Ice (implied Choice D), per nursing practice, reduces pain and swelling post-knee repair. Options are missing, but vital signs or pulses don't relieve pain directly. This evidence-based action, making it the correct choice.
Question 3 of 5
Which level of the cultural environment is being assessed when the nurse asks a client about family rituals and traditions?
Correct Answer: A
Rationale: Bronfenbrenner's ecological model applies here. The microsystem includes immediate settings like family, where rituals and traditions shape daily life and health beliefs, per nursing cultural assessments. Mesosystem links microsystems (e.g., family-school). Exosystem involves external settings (e.g., parent's workplace). Macrosystem is broad cultural values. Family rituals are microsystem-level, guiding care, making this the correct level.
Question 4 of 5
A nurse is caring for a client from a different cultural background who refuses a certain medication. How can understanding transcultural models and frameworks help the nurse in this situation?
Correct Answer: B
Rationale: Transcultural models (e.g., Leininger's) prioritize cultural respect. Respecting beliefs and finding alternatives aligns with this, ensuring client-centered care while addressing needs. Disregarding beliefs or overriding violates ethics. Education may help but isn't primary without respect. This approach fosters trust, making it the correct action.
Question 5 of 5
A nurse is providing care to a client from a different cultural background and notices that the client seems reluctant to ask questions or express concerns. Which of the following strategies should the nurse implement to ensure culturally sensitive care?
Correct Answer: C
Rationale: Reluctance often stems from cultural norms (e.g., deference). Creating a safe, open environment , per nursing texts, encourages questions via trust (e.g., nonjudgmental tone). Translation helps language, not reluctance. Plain language aids comprehension, not expression. Family involvement assumes collectivism. This strategy empowers, making it the correct choice.