ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which intervention would you implement for a patient with active pulmonary TB who is socially isolated due to airborne precautions?
Correct Answer: B
Rationale: Isolation causes loneliness. Suggesting email/phone contact maintains social ties safely, per holistic care, easing isolation. Limiting visitors restricts further. NA presence isn't feasible long-term. Rationale educates but doesn't connect. Alternative contact balances safety and well-being, an LPN intervention, making it the correct choice.
Question 2 of 5
A long-term care nurse cares for an older male who is withdrawn, quiet, and grimaces when touched. The most appropriate action is:
Correct Answer: B
Rationale: Grimacing and withdrawal suggest pain. Assessing causes e.g., arthritis guides care, per nursing process. Meds need basis. Repositioning delays. Notification follows assessment. Thorough evaluation ensures targeted relief, an LPN duty, making it the correct action.
Question 3 of 5
Which item should the nurse use first to assist in staging an ulcer on a patient with darkly pigmented skin?
Correct Answer: D
Rationale: Staging ulcers in darkly pigmented skin requires accurate visualization. A halogen light is used first, per the text, to enhance inspection by countering fluorescent light's blue tones, revealing subtle redness or discoloration. Measuring tape sizes wounds later. Cotton applicators assess depth, not initial staging. Sterile gloves ensure infection control but don't aid visibility. Proper lighting is critical for the first step inspection ensuring nurses correctly identify stages like nonblanchable erythema, making this the correct initial tool.
Question 4 of 5
Which nursing observation will indicate the wound healed by secondary intention?
Correct Answer: D
Rationale: Secondary intention, for wounds like burns, leaves severe scarring (Choice D), per the text, as open wounds fill with scar tissue, potentially impairing function. Minimal tissue loss and minimal scarring suit primary intention. Dark redness isn't typical. Severe scarring reflects the healing process's extent, a key observation nurses document, making this the correct indicator of secondary intention healing.
Question 5 of 5
Which nutrient will the nurse most likely increase after collaboration with the dietitian for a patient with a Stage III pressure ulcer?
Correct Answer: B
Rationale: Protein is critical for wound healing, per the text, supporting collagen synthesis and tissue repair in Stage III ulcers. Fats and carbohydrates provide energy but aren't primary. Vitamin E isn't emphasized. Nurses and dietitians boost protein (e.g., 1.25-1.5 g/kg/day) to heal deep wounds, making this the correct nutrient to increase.