ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
Which action should the nurse take to assist with pain management for a postoperative medial meniscus repair of the right knee?
Correct Answer: D
Rationale: Ice (Choice D), per the text, reduces edema, bleeding, and pain post-knee surgery by numbing the area and constricting vessels. Vital signs monitor status but don't relieve pain. Checking pulses assesses circulation, not pain. A dependent leg increases swelling, worsening pain. Ice is a direct, evidence-based intervention nurses use alongside analgesics, making this the correct action for pain management.
Question 2 of 5
The nurse knows that a hydrocolloid dressing is appropriate for use on which type of wound?
Correct Answer: D
Rationale: Hydrocolloids absorb moderate drainage and form a gel, unsuitable for heavy drainage or tunneling.
Question 3 of 5
The nurse knows what goal to be appropriate for a patient with a stage 3 pressure ulcer with the nursing diagnosis impaired physical mobility?
Correct Answer: C
Rationale: Assisting with position changes addresses impaired mobility directly.
Question 4 of 5
The wound care nurse is monitoring a patient with a Stage III pressure ulcer whose wound presents with healthy tissue. How should the nurse document this ulcer in the patient's medical record?
Correct Answer: C
Rationale: A Stage III ulcer, with full-thickness loss to fat, retains its stage even as it heals. Healing Stage III' , per the flashcards, reflects healthy tissue (e.g., granulation) while preserving original staging for accuracy and care continuity. Stage I is intact skin, not applicable. Healing Stage II underestimates depth. Stage III alone omits healing progress. Proper documentation, per NPUAP guidelines, informs treatment (e.g., moist dressings) and reimbursement, making this the correct choice for nurses.
Question 5 of 5
The nurse caring for a patient in the burn unit should expect what type of wound healing when planning care for this patient?
Correct Answer: B
Rationale: Burns, with tissue loss, heal by secondary intention , per the flashcards, filling with scar tissue over time, raising infection risk. Partial-thickness is for minor wounds. Tertiary intention delays closure. Primary intention is surgical. Nurses manage open burn wounds with dressings and infection control, making this the correct healing type.