ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
Which intervention should the nurse implement post-laminectomy?
Correct Answer: B
Rationale: Assessing for difficulty speaking or breathing is crucial as laminectomy can affect structures impacting these functions.
Question 2 of 5
What problem is most appropriate for the nurse to identify for a client with a closed fracture of the right arm?
Correct Answer: D
Rationale: Compromised neurovascular status poses significant risks requiring vigilant monitoring.
Question 3 of 5
The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report?
Correct Answer: B
Rationale: Confusion in a post-TKR patient may indicate delirium or hypoxia, requiring urgent assessment.
Question 4 of 5
The nurse is caring for a client with a left fractured humerus. Which data warrant intervention by the nurse?
Correct Answer: C
Rationale: Edema and purple discoloration indicate potential compartment syndrome, requiring urgent intervention.
Question 5 of 5
The nurse is caring for a client who has had spinal fusion, with insertion of hardware. The nurse would be most concerned with which assessment finding?
Correct Answer: A
Rationale: A fever of 101.6°F suggests a possible postoperative infection, a serious complication after spinal fusion with hardware, requiring immediate attention.