ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
Correct Answer: D
Rationale: A Braden score of 23 , per the flashcards, is perfect, indicating no risk across all subscales. From 15 (moderate risk), 12 and 13 are worse. 20 is improved but not optimal. This score confirms success, making it the correct sign.
Question 2 of 5
A nurse is caring for a client from a different cultural background who is experiencing chronic pain. The nurse asks the client, 'Mr. Smith, I would like to understand how you generally manage pain or if you have any preferences for pain management. Could you please share with me any cultural practices or approaches that you or your family find helpful in managing pain?' The nurse's approach is most closely aligned with which of the following models?
Correct Answer: B
Rationale: Leininger's theory focuses on culturally congruent care, exploring practices like pain management preferences, as in this question. Giger and Davidhizar assesses six phenomena (e.g., communication), less specific here. Purnell is broader. Peplau is relational, not cultural. This aligns with Leininger's emphasis, making it the correct model.
Question 3 of 5
A nurse caring for an older client learns that the client finds peace and comfort in a personal spiritual practice and aims to incorporate this into the plan of care. How can incorporating traditions and personal views in the plan of care demonstrate empathy to the individual's life experience?
Correct Answer: C
Rationale: Empathy honors client values. Demonstrating respect for spiritual practices , per nursing ethics, validates the client's life experience (e.g., prayer), enhancing well-being. Compromising beliefs misframes empathy. Ignoring practices contradicts care. Costs are unrelated. This shows cultural humility, making it the correct action.
Question 4 of 5
The nurse is assessing a client who lives in an area described as a food desert. The nurse identifies that the client is therefore at risk for which disorder?
Correct Answer: A
Rationale: Food deserts lack fresh food access, increasing reliance on processed, calorie-dense options. Obesity , per public health data, is a primary risk in such areas due to poor nutrition, linking to social determinants of health. Parkinson's , multiple sclerosis , and COPD aren't directly tied to food access. Nurses assess this risk to tailor education (e.g., affordable healthy choices), aligning with cultural competence models addressing environmental barriers, making this the correct disorder.
Question 5 of 5
Which action should the nurse take when a client of a different culture than the nurse stares out the window while the nurse is providing preoperative instruction?
Correct Answer: C
Rationale: Cultural norms affect eye contact. Observing its use , per Giger and Davidhizar, assesses comfort (e.g., avoidance as respect in some cultures) without forcing engagement. Staring or moving may intrude. Stopping delays care. This informs communication, making it the correct action.