ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is explaining the purpose of occlusive dressings to the student nurse. Which statement by the student nurse indicates a lack of understanding?
Correct Answer: C
Rationale: Occlusive dressings are contraindicated in infected wounds, indicating a misunderstanding.
Question 2 of 5
Which nursing observation will indicate the patient is at risk for pressure ulcer formation?
Correct Answer: A
Rationale: Fecal incontinence signals risk, per nursing standards, by exposing skin to moisture and enzymes, softening it for breakdown (maceration). The flashcards list this as a key observation, as prolonged contact with stool rich in bacteria amplifies pressure effects on areas like the coccyx. Eating two-thirds of breakfast suggests some nutrition, not a risk factor. Options C and D are missing, but the context implies fecal incontinence's prominence. Nurses note this in risk assessments (e.g., Braden's moisture subscale), prompting interventions like cleansing and barriers, making this the correct observation.
Question 3 of 5
The nurse caring for a patient who has experienced a laparoscopic appendectomy should expect what type of wound healing when planning care for this patient?
Correct Answer: D
Rationale: Laparoscopic incisions, small and clean, heal by primary intention , per the flashcards, with approximated edges minimizing infection and scarring. Partial-thickness is for shallow loss. Secondary intention suits open wounds. Tertiary intention delays closure. Nurses focus on suture care and infection watch, making this the correct healing type.
Question 4 of 5
A nurse is caring for a patient with a wound. Which assessment data will be most relevant with regard to wound healing?
Correct Answer: B
Rationale: Pulse oximetry , per the flashcards, assesses oxygen saturation crucial for wound healing, as hypoxia delays repair. Muscular strength aids mobility, not healing directly. Options C and D are missing. Nurses ensure oxygenation (>90%) supports cellular repair, making this the correct data.
Question 5 of 5
The nurse is caring for a patient who has a Stage IV pressure ulcer with grafted surgical sites. Which specialty bed will the nurse use for this patient?
Correct Answer: B
Rationale: Air-fluidized beds , per the flashcards, redistribute pressure via immersion, protecting Stage IV grafts. Low-air-loss prevents moisture. Lateral rotation aids lungs. Standard mattresses lack support. This bed optimizes healing, making it the correct choice.