ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which type of intention is characterized by intentional wounds with minimal tissue loss, in which the edges are closely approximated?
Correct Answer: A
Rationale: Primary intention,' as it describes intentional wounds (e.g., surgical incisions) with minimal tissue loss and closely approximated edges, typically closed with sutures or staples. This method promotes rapid healing, minimal scarring, and low infection risk due to immediate edge alignment. 'Delayed primary intention' involves intentional wounds left open briefly before closure, not immediate approximation. 'Secondary intention' applies to wounds with significant tissue loss, healing open from the base up, with unapproximated edges. 'Tertiary intention' combines initial open healing with later closure, also not immediate. In nursing, primary intention is standard for clean surgical wounds, ensuring efficient recovery. The question's emphasis on minimal loss and close edges rules out alternatives, making A the precise fit per wound healing classifications.
Question 2 of 5
In the process of developing evidence-based practice, after reviewing current research studies, the next step is to:
Correct Answer: A
Rationale: Evidence-based practice (EBP) follows a systematic process: ask, acquire, appraise, apply, assess. After reviewing research (appraise), validating findings in practice is next testing applicability (e.g., a new dressing technique) in real settings. Using data for safety or evaluating outcomes follows application. Searching for evidence is prior. Validation ensures relevance before broader use, aligning with EBP models like Johns Hopkins, making it the correct next step for LPNs integrating research into care.
Question 3 of 5
In setting up her nurses' training, Florence Nightingale carried out her belief that:
Correct Answer: C
Rationale: Nightingale's training at St. Thomas' Hospital emphasized nursing as a skilled profession taught by nurses (Choice C), per her'Notes on Nursing.' Fresh air and nutrition (Choices B, D) were key beliefs, but her legacy was formalizing nurse-led education, elevating standards beyond lay care. This focus professionalized nursing, distinguishing it from medicine, and remains foundational, making it the correct answer reflecting her training philosophy.
Question 4 of 5
A nurse is planning illness prevention activities for patients. The best activity would be:
Correct Answer: B
Rationale: Prevention focuses on avoiding illness onset. Vision screenings detect issues early (e.g., glaucoma), aligning with primary prevention per CDC guidelines. Wound dressing is treatment, not prevention. Referrals and prenatal care are valuable but secondary or specific. Screenings proactively reduce disease burden across populations, a key nursing role, making it the correct and most effective prevention activity.
Question 5 of 5
Which is the best description of homeostasis?
Correct Answer: A
Rationale: Homeostasis is the body's dynamic balance adjusting to changes like temperature or blood sugar, per physiology texts. Disturbed equilibrium disrupts it, not defines it. Stressor reaction is a process, not the state. Static condition contradicts its adaptability. Constant adjustment (e.g., sweating to cool) maintains stability, a concept LPNs monitor (e.g., vitals), making this the correct and most accurate description.