ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
What is the next best step for the nurse after determining a patient with a forearm laceration is stable?
Correct Answer: B
Rationale: Post-stabilization, bleeding is the priority, per trauma protocols, as lacerations may hemorrhage profusely, requiring control. Foreign bodies and size follow. Tetanus is later. Inspecting bleeding ensures hemodynamic stability, making this the correct next step for nurses.
Question 2 of 5
Which health care team member will the nurse consult for a patient with impaired skin integrity?
Correct Answer: B
Rationale: Nutrition aids healing. A registered dietitian (Choice B), per the text, optimizes calories and protein for skin integrity, critical for pressure ulcers. Respiratory therapists address breathing. Case managers plan discharge. Chaplains offer spiritual support. Dietitian collaboration enhances recovery, making this the correct consult.
Question 3 of 5
Which action should the nurse take for a patient who appears anxious as the nurse prepares to change a wound dressing?
Correct Answer: B
Rationale: Anxiety during dressing changes stems from uncertainty. Explaining the procedure (Choice B), per the text, educates and involves the patient, reducing fear by giving control and predictability. Television distracts but doesn't address anxiety's root. Closing eyes avoids engagement, potentially increasing tension. Asking family to leave may isolate the patient, worsening distress if they're a support. Explanation aligns with therapeutic communication, calming the patient and aiding cooperation, making this the correct action for nurses to take.
Question 4 of 5
The nurse is educating the patient about the signs and symptoms of a wound infection. Which statement indicates a need for further education?
Correct Answer: D
Rationale: All infected wounds show redness, warmth, and drainage (possibly pus) and require treatment; this statement is correct and doesn't indicate a need for further education, but the question implies misunderstanding, making D the least indicative of needing clarification.
Question 5 of 5
The nurse is repositioning the patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the nurse should place the head of the bed in which position?
Correct Answer: C
Rationale: A 30-degree angle avoids direct pressure on bony prominences like the trochanter.