ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which health care team member will the nurse consult for a patient with impaired skin integrity?
Correct Answer: B
Rationale: Nutrition aids healing. A registered dietitian (Choice B), per the text, optimizes calories and protein for skin integrity, critical for pressure ulcers. Respiratory therapists address breathing. Case managers plan discharge. Chaplains offer spiritual support. Dietitian collaboration enhances recovery, making this the correct consult.
Question 2 of 5
The nurse is educating the patient about the signs and symptoms of a wound infection. Which statement indicates a need for further education?
Correct Answer: D
Rationale: All infected wounds show redness, warmth, and drainage (possibly pus) and require treatment; this statement is correct and doesn't indicate a need for further education, but the question implies misunderstanding, making D the least indicative of needing clarification.
Question 3 of 5
The nurse is repositioning the patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the nurse should place the head of the bed in which position?
Correct Answer: C
Rationale: A 30-degree angle avoids direct pressure on bony prominences like the trochanter.
Question 4 of 5
The nurse identifies which syringe to use when irrigating a patient's deep wound?
Correct Answer: D
Rationale: A 30- to 50-mL syringe with an 18-gauge catheter provides the recommended 4-15 psi for deep wound irrigation.
Question 5 of 5
A nurse participating in a research project associated with pressure ulcers will assess for what predisposing factor that tends to increase the risk for pressure ulcer development?
Correct Answer: A
Rationale: Pressure ulcers arise from unrelieved pressure impairing tissue perfusion. Decreased level of consciousness heightens risk, per nursing principles, as patients can't sense or relieve pressure, aligning with Braden Scale's sensory perception category. These patients, often bedridden or confused, miss cues to shift positions, increasing ischemic damage over bony prominences like the sacrum. Adequate dietary intake supports healing, not risk. Shortness of breath impacts oxygenation but isn't a direct factor. Muscular pain may reduce mobility but isn't primary. Research prioritizes consciousness as a measurable, prevalent risk factor nurses assess, making this the correct choice.