ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which action can a nurse take to cultivate mindful awareness in interactions with clients?
Correct Answer: A
Rationale: Mindful awareness enhances client interactions. Practicing active listening and understanding perspectives , per mindfulness principles in nursing, fosters presence and empathy (e.g., hearing a client's cultural pain beliefs without preconceptions). Quick judgments rely on bias, undermining care. Avoiding reflection detaches nurses from growth. A fixed mindset blocks learning. Active listening aligns with cultural humility, building trust and improving outcomes, making this the correct action for nurses to cultivate awareness.
Question 2 of 5
A physician is interested in leading a hospital goal to reduce the incidence of in-hospital catheter associated urinary tract infections (CAUTI). Although the change process will require all the steps below, which is the best first step?
Correct Answer: C
Rationale: Change needs buy-in. Asking leaders for advice , per the test and Kotter's model, secures support and aligns priorities (e.g., CAUTI reduction), avoiding resistance. Volunteers or research come later. Benchmarking informs, not initiates. Engaging leaders first ensures resources and direction, making it the correct first step.
Question 3 of 5
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?
Correct Answer: C
Rationale: The client is the cultural expert. Per the rationale provided, the client knows their own beliefs best, per Giger and Davidhizar's model, guiding care (e.g., spiritual practices). Nurses and providers gather data, not define it. Family supplements, not overrides. Recognizing the client as expert ensures patient-centeredness, avoiding assumptions, making this the correct choice.
Question 4 of 5
The nurse is caring for a client with a Penrose drain from an abdominal incision. Which is an appropriate nursing intervention for this client?
Correct Answer: B
Rationale: Penrose drains are passive. Measuring drainage , per nursing protocols, tracks output accurately, aiding fluid balance assessment. Safety pins secure but aren't sterile post-insertion. Suction or squeezing applies to active drains (e.g., Jackson-Pratt), not Penrose. Quantifying drainage informs care (e.g., infection risk), making this appropriate for this drain type.
Question 5 of 5
The registered nurse is observing a newly hired nurse perform a dressing change on a client with a leg ulcer. An enzymatic agent is being used to treat the ulcer. Which observation, if made by the registered nurse, would indicate a need for further teaching with the newly hired nurse?
Correct Answer: B
Rationale: Enzymatic agents need moisture. Wrapping with gauze , per wound care protocols, traps the agent, risking healthy tissue damage; it should stay exposed or loosely covered. Saline cleansing and necrosis application are correct. Open air aligns with use. Further teaching ensures debridement efficacy, making this the incorrect action.