ATI LPN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
Which laboratory data will be important for the nurse to monitor when a patient develops a pressure ulcer?
Correct Answer: C
Rationale: Prealbumin , per the flashcards, reflects nutritional status for healing, dropping (<20 mg/dL) in malnutrition a pressure ulcer risk. Vitamin E isn't key. Potassium and sodium are electrolytes, not healing-specific. Nurses track prealbumin over albumin for recent intake, making this the correct data.
Question 2 of 5
The nurse is caring for a surgical patient. Which intervention is most important for the nurse to complete to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?
Correct Answer: D
Rationale: Pain hinders mobility, increasing ulcer risk. Analgesics , per the flashcards, enhance willingness and ability to move, reducing pressure. Explaining risks educates. Turning every 3 hours is too infrequent. Sitting helps but lacks pain focus. Pain relief is key, making this the correct intervention.
Question 3 of 5
When caring for a group of patients, which task can the nurse delegate to the nursing assistive personnel (AP)?
Correct Answer: B
Rationale: NAPs handle routine tasks. Applying a gauze bandage , per the flashcards, is within their scope, securing dressings safely. Assessing risk , treating ulcers , and negative-pressure therapy require RN judgment. This delegation is appropriate, making it the correct task.
Question 4 of 5
The patient appears anxious as the nurse is preparing to change their wound dressing. Which action should the nurse take?
Correct Answer: B
Rationale: Explaining the procedure , per the flashcards, reduces anxiety by informing and empowering the patient. TV distracts but doesn't address fear. Closing eyes avoids engagement. Waiting for family delays care. This therapeutic approach calms, making it the correct action.
Question 5 of 5
The nurse is providing care to a client who follows a holistic medicine approach to health care. Which aspect of care should the nurse anticipate when developing a plan of care for this client?
Correct Answer: C
Rationale: Holistic medicine views health as interconnected. Balancing physical and mental needs aligns with this, per nursing frameworks, emphasizing mind-body harmony (e.g., stress reduction alongside medication). Fate-guided decisions reflect fatalism, not holism. Aggressive treatment contradicts holistic gentleness. Statistical data suits evidence-based care, not client-centered holism. Nurses anticipate integrating therapies like meditation with medical care, respecting the client's philosophy, making this the correct aspect.