ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is caring for a patient with a Stage IV pressure ulcer. Which type of healing will the nurse consider when planning care for this patient?
Correct Answer: B
Rationale: Stage IV ulcers, exposing bone or muscle, heal via full-thickness repair , per the text, involving four phases (hemostasis, inflammatory, proliferative, maturation) due to extensive loss. Partial-thickness suits shallow wounds. Primary intention is for closed incisions. Tertiary intention delays closure. Nurses plan debridement and grafting for full-thickness, per evidence-based care, making this the correct healing type.
Question 2 of 5
A patient presents to the emergency department with a laceration of the right forearm caused by a fall. After determining that the patient is stable, what is the next best step for the nurse to take?
Correct Answer: A
Rationale: Post-stabilization, bleeding , per the flashcards, is the next focus, as lacerations may hemorrhage, requiring control. Options B-D are missing, but bleeding precedes foreign body checks or tetanus. Nurses ensure hemodynamic stability, making this the correct step.
Question 3 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 4 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 5 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.