ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which nursing observation will indicate the patient is at risk for pressure ulcer formation?
Correct Answer: A
Rationale: Fecal incontinence signals risk, per nursing standards, by exposing skin to moisture and enzymes, softening it for breakdown (maceration). The flashcards list this as a key observation, as prolonged contact with stool rich in bacteria amplifies pressure effects on areas like the coccyx. Eating two-thirds of breakfast suggests some nutrition, not a risk factor. Options C and D are missing, but the context implies fecal incontinence's prominence. Nurses note this in risk assessments (e.g., Braden's moisture subscale), prompting interventions like cleansing and barriers, making this the correct observation.
Question 5 of 5
The nurse caring for a patient who has experienced a laparoscopic appendectomy should expect what type of wound healing when planning care for this patient?
Correct Answer: D
Rationale: Laparoscopic incisions, small and clean, heal by primary intention , per the flashcards, with approximated edges minimizing infection and scarring. Partial-thickness is for shallow loss. Secondary intention suits open wounds. Tertiary intention delays closure. Nurses focus on suture care and infection watch, making this the correct healing type.