ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse reinforces turning, coughing, and deep breathing to a preoperative patient. Which statement indicates a need for further instruction?
Correct Answer: B
Rationale: Turning, coughing, and deep breathing prevent pneumonia post-op.'Lying still' contradicts this immobility risks atelectasis, showing misunderstanding. Bracing with a pillow aids coughing. Pneumonia prevention is correct. Early ambulation helps, though'immediately' exaggerates. Staying still opposes respiratory clearance, needing reteaching, making it the correct statement for further instruction.
Question 2 of 5
Which measure would be appropriate when caring for a postoperative patient with a bulb suction wound drain?
Correct Answer: C
Rationale: Bulb suction (e.g., Jackson-Pratt) removes fluid. Compressing the bulb restores suction, per surgical care, preventing fluid buildup. Assessing patency and measuring drainage are key but ongoing. Rinsing with sterile water risks contamination not standard. Compression maintains function, an LPN duty, making it the correct and most immediate action.
Question 3 of 5
You are observing a nursing student perform a dressing change. You would intervene if the student:
Correct Answer: D
Rationale: Dressing changes balance sterility and practicality. Using sterile gloves to remove old dressing is incorrect clean gloves suffice, per infection control, reserving sterile for new application. Gathering supplies (Choice A), identifying patient (Choice B), and hand hygiene with clean gloves are standard. Sterile removal wastes resources and risks contamination later, needing intervention, making it the correct action.
Question 4 of 5
You administer ketorolac 30 mg IM. The gate control theory indicates the next action to assist in pain control would be to:
Correct Answer: D
Rationale: Gate control theory posits non-pain stimuli block pain signals. Encouraging distraction e.g., music enhances ketorolac's effect, per pain management. Recapping is safety, not pain-related. Massaging may worsen IM irritation. Checking later assesses, doesn't aid. Distraction leverages theory, an LPN adjunct, making it the correct next action.
Question 5 of 5
A patient with chronic pain asks, 'What is a TENS unit?' The best nursing response is:
Correct Answer: B
Rationale: TENS (transcutaneous electrical nerve stimulation) uses skin electrodes to disrupt pain signals, per gate control theory.'Small electrical stimulus' accurately describes it, per nursing texts. Epidural is invasive, not TENS. Finger pressure is acupressure. Support misleads. Clear explanation aids use, an LPN response, making it the correct answer.