ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which patient statement indicates a need for further teaching regarding the use of a PCA pump?
Correct Answer: D
Rationale: PCA lets patients self-dose within limits.'Call a nurse when I need medication' misunderstands PCA autonomy, per pain management protocols, needing reteaching. Self-control (Choice A), limited amount (Choice B), and reporting poor control are correct. Misbelief in nurse dependency undermines PCA use, an LPN teaching point, making it the correct statement.
Question 2 of 5
You know that acute and chronic pain may be handled differently. Which of the following is correct?
Correct Answer: D
Rationale: Chronic pain persistent, complex benefits from holistic care (Choice D), per pain guidelines, using meds, therapy, and lifestyle. Hypnotherapy aids chronic, not acute. PCA suits acute post-op, not chronic. Acute pain is manageable with protocols. Holistic management addresses chronic pain's breadth, an LPN approach, making it the correct statement.
Question 3 of 5
A 25-year-old patient complains of moderate incision pain post-morphine IV. The most appropriate action after injection is:
Correct Answer: B
Rationale: Post-IV morphine (peak 20-30 min), encouraging rest enhances relief, per pain protocols, calming the patient. Evaluating in 2 hours delays 30 min is standard. Distraction is adjunct, not primary. Ibuprofen overlaps unnecessarily. Rest leverages morphine's effect, an LPN step, making it the correct action.
Question 4 of 5
How should the nurse document a healing Stage III pressure ulcer with healthy tissue observed?
Correct Answer: C
Rationale: A Stage III pressure ulcer involves full-thickness skin loss with visible fat. When healing with healthy tissue, it's documented as 'Healing Stage III' (Choice C), per staging guidelines, retaining its original stage while noting progress. Stage I is nonblanchable redness, not applicable. Healing Stage II implies partial-thickness, underrepresenting depth. Stage III without 'healing' ignores improvement. Accurate documentation reflects the wound's history and current state, aiding care continuity and reimbursement, making 'Healing Stage III' the correct choice for this scenario.
Question 5 of 5
For which type of healing will the nurse focus the care plan for a patient who has experienced a laparoscopic appendectomy?
Correct Answer: D
Rationale: A laparoscopic appendectomy, with small, clean incisions, heals by primary intention (Choice D), per the text, where edges are approximated, minimizing infection risk and scarring. Partial-thickness repair is for shallow wounds. Secondary intention suits open, tissue-loss wounds. Tertiary intention delays closure. Primary intention's quick healing guides nurses to monitor for infection and support closure, making this the correct focus for care planning.