ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
Correct Answer: B
Rationale: The ACCESS model (Assessment, Communication, etc.) emphasizes collaboration. Developing the plan with the client reflects this, per transcultural care, ensuring cultural input (e.g., traditional needs). Standardized or group-specific plans lack personalization. Nurse-only collaboration excludes clients. This aligns with ACCESS, making it the correct action.
Question 2 of 5
According to Campinha-Bacote's 'Process of Cultural Competemility in the Delivery of Healthcare Services' model, which question by a nurse represents the 'A' in the mnemonic 'A-S-K-E-D' for self-examination?
Correct Answer: A
Rationale: A' is awareness in ASKED. Asking about prejudices and 'isms' , per Campinha-Bacote, initiates self-examination of biases (e.g., racism) impacting care. Choice B (skill), C (knowledge), and D (encounters/desire) are later steps. This starts competemility, making it the correct question.
Question 3 of 5
Which of the following outcome measures is reported on the CMS Hospital Compare website?
Correct Answer: C
Rationale: CMS Hospital Compare reports standardized outcomes. 30-day MI mortality , per the test, is tracked per CMS, reflecting post-discharge care impact, publicly available since 2007. Rapid response activations and survival post-arrest are internal metrics, not CMS-reported. Follow-up within 2 weeks isn't a standard CMS outcome. This measure drives hospital accountability, linking to payment via value-based programs, making it the correct choice per CMS policy.
Question 4 of 5
By which group is the use of HCAHPS mandated?
Correct Answer: B
Rationale: HCAHPS is a federal mandate. CMS , per the test, requires it since 2006 for Medicare hospitals, linking scores to payment. Boards or states may encourage. ACGME focuses on education. CMS enforcement ensures standardized patient experience data, making it the correct group.
Question 5 of 5
A nurse is admitting a client to the unit. Which cultural question is most appropriate?
Correct Answer: A
Rationale: Culturally respectful care seeks client input. Asking about dietary needs and preferences aligns with transcultural nursing (e.g., Leininger's model), capturing specifics like kosher or halal diets, fostering trust. Choice B assumes standard food fits, ignoring culture. Choice C is narrow, missing preferences. Choice D is incomplete and unclear due to OCR error, likely irrelevant. Per nursing standards, open-ended questions ensure individualized care, respecting beliefs (e.g., fasting practices), making this the most appropriate question.