ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which patient instruction is most critical to a patient being discharged on antibiotic therapy?
Correct Answer: D
Rationale: Antibiotics fight infection. Taking all as prescribed prevents resistance, per CDC guidelines, a top priority. Handwashing and fluids support health. Stress reduction is indirect. Completing the course ensures bacterial eradication, an LPN teaching focus, making it the correct and most critical instruction.
Question 2 of 5
An appropriate short-term outcome for a patient with acute pain after surgery would be:
Correct Answer: D
Rationale: Short-term outcomes are specific, measurable. Pain adequately controlled with PCA targets relief within hours, per SMART goals. PCA use is action, not outcome. Nurse assessment is process. Healing is long-term. Controlled pain reflects efficacy, an LPN aim, making it the correct outcome.
Question 3 of 5
Which risk factor will the nurse assess for that predisposes a patient to pressure ulcer development?
Correct Answer: A
Rationale: Pressure ulcers result from prolonged pressure impairing blood flow to tissues. A decreased level of consciousness is a key risk factor, per *Fundamentals of Nursing*, because confused or unconscious patients can't reposition themselves to relieve pressure or communicate discomfort. This aligns with the Braden Scale's sensory perception category, where impaired awareness heightens vulnerability. Adequate dietary intake supports healing, not risk. Shortness of breath affects oxygenation but isn't a direct pressure ulcer cause. Muscular pain may limit mobility but isn't primary. Decreased consciousness directly correlates with immobility and unawareness, making it the correct answer nurses assess first in med-surg settings.
Question 4 of 5
Which type of healing will the nurse consider when planning care for a patient with a Stage IV pressure ulcer?
Correct Answer: B
Rationale: Stage IV pressure ulcers, with exposed bone or muscle, heal by full-thickness repair (Choice B), per the text, involving hemostasis, inflammatory, proliferative, and maturation phases due to deep tissue loss. Partial-thickness repair suits shallow wounds. Primary intention is for clean, closed incisions. Tertiary intention delays closure. Full-thickness healing addresses scar formation in severe ulcers, guiding nurses to plan debridement and grafting, making this the correct healing type for care planning.
Question 5 of 5
Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing after a total abdominal hysterectomy?
Correct Answer: D
Rationale: A bluish mass suggests a hematoma a complication from blood pooling under tissues, per the text, risking pressure on vessels. Pain and itching are normal post-op. Approximation indicates proper healing. Hematomas require nurse intervention (e.g., notification), making this the correct sign of a healing complication.