ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
When prioritizing safety measures for a postoperative patient in the PACU, the first priority is:
Correct Answer: C
Rationale: PACU prioritizes ABCs airway, breathing, circulation. Checking airway patency and respirations is first, per ACLS, as obstruction kills fastest. Positioning follows airway clearance. Urine flow and IV fluids are secondary. Breathing ensures oxygenation, an LPN immediate focus, making this the correct top priority.
Question 2 of 5
Which patient instruction is most critical to a patient being discharged on antibiotic therapy?
Correct Answer: D
Rationale: Antibiotics fight infection. Taking all as prescribed prevents resistance, per CDC guidelines, a top priority. Handwashing and fluids support health. Stress reduction is indirect. Completing the course ensures bacterial eradication, an LPN teaching focus, making it the correct and most critical instruction.
Question 3 of 5
You note a change in mental status in an older adult patient, with flushed, warm, dry skin, full pulse, and low urine output. The priority action is:
Correct Answer: C
Rationale: Altered mental status, warm/dry skin, and oliguria suggest sepsis. Taking vital signs first confirms severity (e.g., fever, tachycardia), per ABCs, guiding urgency. Notifying or drawing blood follows data. History delays. Vitals provide objective evidence, an LPN priority, making it the correct first action.
Question 4 of 5
An appropriate short-term outcome for a patient with acute pain after surgery would be:
Correct Answer: D
Rationale: Short-term outcomes are specific, measurable. Pain adequately controlled with PCA targets relief within hours, per SMART goals. PCA use is action, not outcome. Nurse assessment is process. Healing is long-term. Controlled pain reflects efficacy, an LPN aim, making it the correct outcome.
Question 5 of 5
Which risk factor will the nurse assess for that predisposes a patient to pressure ulcer development?
Correct Answer: A
Rationale: Pressure ulcers result from prolonged pressure impairing blood flow to tissues. A decreased level of consciousness is a key risk factor, per *Fundamentals of Nursing*, because confused or unconscious patients can't reposition themselves to relieve pressure or communicate discomfort. This aligns with the Braden Scale's sensory perception category, where impaired awareness heightens vulnerability. Adequate dietary intake supports healing, not risk. Shortness of breath affects oxygenation but isn't a direct pressure ulcer cause. Muscular pain may limit mobility but isn't primary. Decreased consciousness directly correlates with immobility and unawareness, making it the correct answer nurses assess first in med-surg settings.