ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which statement by the patient with a Stage IV pressure ulcer indicates issues with self-concept?
Correct Answer: C
Rationale: Self-concept ties to body image. Requesting a bath and linen change due to an 'awful' state reflects distress over odor and drainage, per the text, hinting at shame. Weakness is physical. Going home and dinner are positive. This statement signals emotional impact, making it the correct indicator for nurses to address.
Question 2 of 5
Which action will the nurse take first to decrease the formation of pressure ulcers for an immobile patient?
Correct Answer: C
Rationale: Prevention starts with risk assessment. Determining risk factors (Choice C), per the text, identifies vulnerabilities (e.g., immobility) for tailored interventions. Fluids and nutrition support health but aren't first. Turning is key but follows risk identification. This step ensures effective planning, making it the correct first action.
Question 3 of 5
A nurse leaves a pressure ulcer open to air without a dressing. To which patient did the nurse provide care?
Correct Answer: A
Rationale: Stage I pressure ulcers intact skin with nonblanchable redness heal without dressings (Choice A), per the text, resolving in 7-14 days with pressure relief. Stage II requires moisture-retentive dressings like hydrocolloids for partial-thickness loss. Stage III and IV need advanced dressings (e.g., hydrogels) for deeper damage. Open-to-air is appropriate only for Stage I, as it avoids unnecessary intervention while promoting natural recovery, making this the correct patient for the nurse's care approach.
Question 4 of 5
The nurse knows which description would be classified as a closed wound?
Correct Answer: A
Rationale: In a closed wound, like a bruise, the skin remains intact, unlike open wounds with breaks in the skin.
Question 5 of 5
A new nurse is delegating care of a chronic, nonsterile wound to a UAP. What action by the new nurse causes the preceptor to intervene?
Correct Answer: A
Rationale: Wound assessment is a nursing responsibility and cannot be delegated to UAP.