ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
What should be the first thing considered before delegating a specific task?
Correct Answer: B
Rationale: Delegation prioritizes safety and competence. Knowing the LPN/LVN scope is critical but applies to the delegator, not the first step for a task. Seeking approval or explaining comes after ensuring the delegatee's capability. Being aware of the nursing assistant's competency and experience is the first step, per ANA delegation principles, ensuring the task matches their skills (e.g., bathing, not wound care). This prevents errors, aligns with patient safety goals, and reflects practical nursing oversight, making it the correct priority before proceeding.
Question 2 of 5
One main difference between a licensed practical/vocational nurse and a registered nurse (RN) is that the licensed practical/vocational nurse:
Correct Answer: D
Rationale: LPN/LVNs work under RN or physician supervision (Choice D), per NCSBN scope, focusing on stable patients. Giving meds is shared with RNs, not unique. Noninvasive procedures aren't exclusive LPNs do invasive tasks like injections. Patient load varies, not a defining difference. Supervision ensures LPNs implement care plans RNs design, reflecting their practical focus, making this the correct distinction.
Question 3 of 5
It is important that the nurse understand that certain cultural traits should be assessed in patients. Patients of Asian, African, and Hispanic descent should be assessed for:
Correct Answer: C
Rationale: Cultural traits influence health risks. Sickle cell anemia is prevalent in African descent (also some Hispanic, Asian groups), per genetic studies, requiring screening. Stomach cancer links to diet (e.g., Asian salted foods) but isn't universal. Retinopathy ties to diabetes, not ethnicity-specific. Lactose intolerance is common but less acute. Sickle cell's hereditary impact makes it a critical assessment, per cultural competence, making it the correct focus.
Question 4 of 5
Common sympathetic reactions to a stressor that occurs suddenly include:
Correct Answer: D
Rationale: Sudden stressors trigger the sympathetic'fight or flight' response. Pounding heart and rapid pulse occur as adrenaline boosts circulation, per physiology. Pupil constriction is parasympathetic. Saliva/tear increase opposes dry mouth from stress. Weak knees may happen but isn't universal. Heart rate elevation is a hallmark sign LPNs monitor, making this the correct and most consistent reaction.
Question 5 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.