ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which intervention is most important to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?
Correct Answer: D
Rationale: Pain limits mobility, increasing ulcer risk. Analgesics (Choice D), per the text, boost willingness and ability to move, reducing pressure. Explaining risks educates but doesn't enable. Turning every 3 hours is too infrequent (2 hours is standard). Sitting helps but lacks pain focus. Pain relief is key, making this the correct intervention.
Question 2 of 5
Which is the best explanation for the nurse to use when teaching a patient the reason for an abdominal binder after an open abdominal aortic aneurysm repair?
Correct Answer: D
Rationale: An abdominal binder supports the large incision post-aortic repair (Choice D), per the text, stabilizing it during movement or coughing to promote healing and reduce strain. Reducing edema is secondary, more relevant to extremities. Securing dressings is a minor role. Immobilization applies to sprains, not this context. Support enhances patient comfort and wound integrity, making this the correct explanation for nurses to provide.
Question 3 of 5
The nurse is caring for a patient who is postoperative day one from an abdominal surgery. When the patient complains of a 'popping sensation' and a wetness in the dressing, the nurse immediately suspects which complication?
Correct Answer: C
Rationale: Wound dehiscence is the separation of tissue layers, often with a popping sensation and wetness, an emergency situation.
Question 4 of 5
The nurse is explaining the purpose of occlusive dressings to the student nurse. Which statement by the student nurse indicates a lack of understanding?
Correct Answer: C
Rationale: Occlusive dressings are contraindicated in infected wounds, indicating a misunderstanding.
Question 5 of 5
The nurse is performing a wet/damp to dry dressing change when the patient begins to complain of severe pain. What does the nurse do first?
Correct Answer: C
Rationale: Stopping the procedure addresses immediate pain, allowing further assessment.