ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is performing a moist-to-dry dressing. In which order will the nurse implement the steps, starting with the first one? (1. Apply sterile gloves, 2. Cover and secure topper dressing, 3. Assess wound and surrounding skin, 4. Moisten gauze with prescribed solution, 5. Gently wring out excess solution and unfold, 6. Loosely pack until all wound surfaces are in contact with gauze)
Correct Answer: B
Rationale: Moist-to-dry dressing sequence, per nursing practice, starts with sterile gloves (1) for infection control , then assesses wound (3), moistens gauze (4), wrings out (5), packs (6), and secures (2). Starting with moistening (Choices A, C) skips sterility. Moistening before assessing is illogical. This order ensures safety and efficacy, making it the correct sequence.
Question 2 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 3 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 4 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.
Question 5 of 5
Which concept does the nurse identify as an organizational barrier to culturally competent health care in a community?
Correct Answer: B
Rationale: Organizational barriers hinder systemic competence. A lack of medical interpreters , per National CLAS Standards, impedes communication with LEP clients, a key cultural barrier. Provider shortages , insurance , and affordability are access issues, not competence-specific. Interpreters ensure understanding, making this the correct concept.