ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
To promote wound healing, you instruct the patient to eat foods high in protein. Which choice warrants further teaching?
Correct Answer: A
Rationale: Protein aids wound healing (collagen synthesis). Caesar salad with bread lacks significant protein, per nutrition guidelines, needing reteaching. Tuna (Choice B), cheese (Choice C), and chicken provide protein (10-20g/serving). Salad's low protein (lettuce, dressing) fails healing needs, an LPN dietary focus, making it the correct choice for further instruction.
Question 2 of 5
Which intervention would you implement for a patient with active pulmonary TB who is socially isolated due to airborne precautions?
Correct Answer: B
Rationale: Isolation causes loneliness. Suggesting email/phone contact maintains social ties safely, per holistic care, easing isolation. Limiting visitors restricts further. NA presence isn't feasible long-term. Rationale educates but doesn't connect. Alternative contact balances safety and well-being, an LPN intervention, making it the correct choice.
Question 3 of 5
A 25-year-old woman with a minor laceration moans about arm pain after an accident with her son. Her expression of pain is possibly influenced by:
Correct Answer: D
Rationale: Pain expression varies. Worry about her son heightens anxiety, amplifying pain perception, per stress-pain links. Blood may shock but not sustain moaning. Culture influences but lacks context here. Relief reduces stress. Maternal concern drives intensity, an LPN note, making it the correct influence.
Question 4 of 5
A long-term care nurse cares for an older male who is withdrawn, quiet, and grimaces when touched. The most appropriate action is:
Correct Answer: B
Rationale: Grimacing and withdrawal suggest pain. Assessing causes e.g., arthritis guides care, per nursing process. Meds need basis. Repositioning delays. Notification follows assessment. Thorough evaluation ensures targeted relief, an LPN duty, making it the correct action.
Question 5 of 5
Which item should the nurse use first to assist in staging an ulcer on a patient with darkly pigmented skin?
Correct Answer: D
Rationale: Staging ulcers in darkly pigmented skin requires accurate visualization. A halogen light is used first, per the text, to enhance inspection by countering fluorescent light's blue tones, revealing subtle redness or discoloration. Measuring tape sizes wounds later. Cotton applicators assess depth, not initial staging. Sterile gloves ensure infection control but don't aid visibility. Proper lighting is critical for the first step inspection ensuring nurses correctly identify stages like nonblanchable erythema, making this the correct initial tool.