ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a surgical patient. Which intervention is most important for the nurse to complete to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?
Correct Answer: D
Rationale: Pain hinders mobility, increasing ulcer risk. Analgesics , per the flashcards, enhance willingness and ability to move, reducing pressure. Explaining risks educates. Turning every 3 hours is too infrequent. Sitting helps but lacks pain focus. Pain relief is key, making this the correct intervention.
Question 2 of 5
The patient appears anxious as the nurse is preparing to change their wound dressing. Which action should the nurse take?
Correct Answer: B
Rationale: Explaining the procedure , per the flashcards, reduces anxiety by informing and empowering the patient. TV distracts but doesn't address fear. Closing eyes avoids engagement. Waiting for family delays care. This therapeutic approach calms, making it the correct action.
Question 3 of 5
The nurse is providing care to a client who follows a holistic medicine approach to health care. Which aspect of care should the nurse anticipate when developing a plan of care for this client?
Correct Answer: C
Rationale: Holistic medicine views health as interconnected. Balancing physical and mental needs aligns with this, per nursing frameworks, emphasizing mind-body harmony (e.g., stress reduction alongside medication). Fate-guided decisions reflect fatalism, not holism. Aggressive treatment contradicts holistic gentleness. Statistical data suits evidence-based care, not client-centered holism. Nurses anticipate integrating therapies like meditation with medical care, respecting the client's philosophy, making this the correct aspect.
Question 4 of 5
The nurse is assessing a migrant worker who has abdominal pain. Which of the following questions should the nurse include as part of a culturally sensitive assessment?
Correct Answer: B
Rationale: Culturally sensitive assessments explore traditional practices. Asking about medications, herbs, or home treatments , per transcultural nursing, captures migrant workers' potential use of folk remedies alongside conventional care. OTC meds is narrow. Causal beliefs are useful but less immediate. Manager's opinion is irrelevant. This question ensures holistic data, making it the correct choice.
Question 5 of 5
A 35-year-old client has recently been diagnosed with high blood pressure. He is concerned about taking medications for the rest of his life and is interested in alternative therapies. He expresses an interest in using traditional healing practices and asks you what other options exist apart from medications. To integrate culturally responsive care while caring for this client, the nurse would need to:
Correct Answer: C
Rationale: Culturally responsive care collaborates. Identifying safe, effective traditional practices , per transcultural care, respects the client's interest (e.g., acupuncture) while ensuring medical efficacy. Dismissing or forcing meds ignores preferences. Listing modalities lacks personalization. This balances culture and health, making it the correct action.