ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is caring for a patient with a Stage IV pressure ulcer. Which nursing diagnosis should the nurse add to the care plan?
Correct Answer: C
Rationale: Stage IV ulcers warrant Impaired skin integrity' , per NANDA-I, as the primary issue, per the flashcards. Nutrition is a goal. Mobility and pain may coexist. This drives wound care, making it the correct diagnosis.
Question 2 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 3 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 4 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.
Question 5 of 5
A client who is pregnant and from a Middle Eastern background expresses discomfort with receiving prenatal care from health care providers who are men. To provide culturally responsive care for the client, the nurse should:
Correct Answer: D
Rationale: Cultural responsiveness requires dialogue. Discussing and collaborating , per nursing ethics, respects Middle Eastern norms (e.g., modesty) while finding solutions (e.g., female providers if possible). Explaining male necessity or disregarding dismisses her comfort. Scheduling only women assumes without discussion. This fosters trust, making it the correct action.