ATI LPN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which outcome is a potential consequence of power imbalances in nurse-client interactions?
Correct Answer: C
Rationale: Power imbalances skew dynamics. Unequal treatment and compromised autonomy , per nursing ethics, arise when nurses dominate (e.g., dismissing client input), reducing trust. Increased autonomy , rapport , or communication require balance. This reflects reality, making it the correct outcome.
Question 2 of 5
Patient-Centeredness is best defined as:
Correct Answer: B
Rationale: Patient-centeredness prioritizes individuality. Respecting preferences, needs, and values , per the test and Picker Institute, defines it, integrating emotional and cultural care. Patient-only decisions lack guidance. Evidence-based care is quality, not centeredness. Holistic focus is narrower. This definition drives HCAHPS metrics, making it the correct choice.
Question 3 of 5
A hospital is implementing clinical decision support to detect potential drug-drug interactions during medication ordering. Which of the following will be most important to ensure effective implementation?
Correct Answer: C
Rationale: Effective CDS balances usability. Allowing overrides with reasons , per the test and CDS best practices, maintains workflow while ensuring accountability, avoiding frustration from hard stops. Limiting to trainees misses broad use. All statuses slow systems. Constant training burdens users. This fits real-time needs, making it the correct choice.
Question 4 of 5
The nurse is assessing the perineal wound in a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is most appropriate?
Correct Answer: C
Rationale: Serosanguineous drainage is normal post-op. Changing the dressing as prescribed aligns with wound care standards (e.g., ATI Nursing), managing expected drainage (pink, watery fluid) without escalation. Notifying the surgeon is premature unless excessive. Clamping risks fluid buildup, potentially causing infection. Removing packing disrupts healing unless ordered. Perineal resection wounds typically drain initially; routine dressing changes maintain cleanliness and monitor progress, making this the most appropriate intervention per evidence-based practice.
Question 5 of 5
The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area?
Correct Answer: D
Rationale: Stage II ulcers are partial. Partial-thickness loss , per NPUAP staging, shows blisters or shallow craters, matching documentation. Intact skin is stage 1. Full-thickness or exposed tissue are stages III-IV. The nurse expects dermis-level damage, guiding dressing choice, making this the correct finding.