ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which one of the following is an example of a process measure of quality?
Correct Answer: C
Rationale: Process measures track care delivery actions. Per the test, aspirin within 24 hours for MI is a process measure what was done aligned with AHRQ definitions, focusing on guideline adherence. DVT post-hip replacement and 30-day mortality are outcomes what happened reflecting results, not actions. ICU physician training is a structure measure how care is organized not a process. Process measures ensure evidence-based steps occur, like timely aspirin reducing MI mortality, making this the correct choice per quality frameworks.
Question 2 of 5
Examples of computer based decision support include all except:
Correct Answer: D
Rationale: Decision support guides, doesn't enforce. Linking orders to indications , per the test, lacks active guidance (e.g., suggestions), unlike alerts , reminders , or order sets , per HIMSS definitions. It's a rule, not support. True decision support aids clinical judgment, making this the correct exception.
Question 3 of 5
The younger nurses on a unit, who seem to adapt easily to the new technology presented, are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, 'You might be able to work a computer, but we know how to provide the care.' How should the charge nurse respond?
Correct Answer: C
Rationale: Conflict reflects subcultures. Discussing cultural conflict and value addresses generational differences, per nursing leadership, fostering teamwork (e.g., tech vs. experience). Forcing tech misjudges intent. Racism overstates; it's age-based. Ignoring escalates tension. This promotes mutual respect, making it the correct response.
Question 4 of 5
A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the client's hand?
Correct Answer: D
Rationale: Frostbite shows tissue freezing. White, insensitive skin , per emergency nursing texts, indicates early frostbite (stage 1), with vasoconstriction and numbness. Pink edema suggests rewarming. Red skin or black tips reflect later stages (thawing or necrosis). Initial assessment notes pallor and sensory loss, guiding rewarming care, making this the correct finding.
Question 5 of 5
A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:
Correct Answer: A
Rationale: Primary intention is the correct answer as it describes wound healing where the edges are well approximated, such as with sutures, and there's minimal tissue loss or drainage, leading to fast healing with minimal scarring. This typically occurs in clean, surgical incisions where the body can efficiently close the wound through epithelialization. Secondary intention occurs when wound edges are not approximated, often due to significant tissue loss or infection, healing through granulation tissue formation, which takes longer and results in more scarring. Tertiary intention involves a delay in closure, often intentionally left open for drainage or debridement before suturing, resulting in intermediate scarring. Quaternary intention is not a recognized term in wound healing classifications. The scenario's description of well-approximated edges and minimal drainage aligns with primary intention, reflecting an optimal healing process under controlled conditions.