ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which action by a community health center demonstrates its commitment to providing a welcoming environment for LGBTQIA+ individuals?
Correct Answer: B
Rationale: Inclusivity requires recognition. Nonbinary intake options , per cultural competence, affirm LGBTQIA+ identities (e.g., gender fluid), fostering safety. Binary restrooms exclude. Appearance-based pronouns misgender. Avoiding orientation ignores needs. This shows commitment, making it the correct action.
Question 2 of 5
Which of the following is the most appropriate comparison of process and outcome measures?
Correct Answer: D
Rationale: D Per the test, outcome measures like mortality need risk adjustment (e.g., age, comorbidities) for fair comparison across providers, unlike process measures (e.g., aspirin given), which track actions without adjustment. Process measures don't need large samples small audits suffice. Neither is less important ; both inform quality. Administrative databases often lack process details (e.g., timing), favoring outcomes like death. Risk adjustment ensures outcome validity, while process simplicity aids direct measurement, making this the correct comparison.
Question 3 of 5
Patient-Centeredness is best defined as:
Correct Answer: B
Rationale: Patient-centeredness prioritizes individuality. Respecting preferences, needs, and values , per the test and Picker Institute, defines it, integrating emotional and cultural care. Patient-only decisions lack guidance. Evidence-based care is quality, not centeredness. Holistic focus is narrower. This definition drives HCAHPS metrics, making it the correct choice.
Question 4 of 5
A hospital is implementing clinical decision support to detect potential drug-drug interactions during medication ordering. Which of the following will be most important to ensure effective implementation?
Correct Answer: C
Rationale: Effective CDS balances usability. Allowing overrides with reasons , per the test and CDS best practices, maintains workflow while ensuring accountability, avoiding frustration from hard stops. Limiting to trainees misses broad use. All statuses slow systems. Constant training burdens users. This fits real-time needs, making it the correct choice.
Question 5 of 5
The nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: Serosanguineous drainage is normal post-op. Changing the dressing as prescribed aligns with wound care standards (e.g., ATI Nursing), managing expected drainage (pink, watery fluid) without escalation. Notifying the surgeon is premature unless excessive. Clamping risks fluid buildup, potentially causing infection. Removing packing disrupts healing unless ordered. Perineal resection wounds typically drain initially; routine dressing changes maintain cleanliness and monitor progress, making this the most appropriate intervention per evidence-based practice.