ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which action will the nurse take first to decrease the formation of pressure ulcers for an immobile patient?
Correct Answer: C
Rationale: Prevention starts with risk assessment. Determining risk factors (Choice C), per the text, identifies vulnerabilities (e.g., immobility) for tailored interventions. Fluids and nutrition support health but aren't first. Turning is key but follows risk identification. This step ensures effective planning, making it the correct first action.
Question 2 of 5
The nurse knows which description would be classified as a closed wound?
Correct Answer: A
Rationale: In a closed wound, like a bruise, the skin remains intact, unlike open wounds with breaks in the skin.
Question 3 of 5
A new nurse is delegating care of a chronic, nonsterile wound to a UAP. What action by the new nurse causes the preceptor to intervene?
Correct Answer: A
Rationale: Wound assessment is a nursing responsibility and cannot be delegated to UAP.
Question 4 of 5
The nurse is educating the patient about the use of heat/cold therapy at home. Which statement by the patient indicates the need for further education?
Correct Answer: C
Rationale: Hot packs should not be microwaved unless designed for it, indicating a need for clarification.
Question 5 of 5
The nurse identifies which skin layer that delivers the blood supply to the dermis, provides insulation, and has a cushioning effect?
Correct Answer: C
Rationale: The subcutaneous layer supplies blood to the dermis and provides insulation and cushioning.