ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
While reviewing the morning vital signs of a preoperative patient, which patient information warrants immediate notification of the surgeon?
Correct Answer: B
Rationale: Pre-op, abnormal labs signal risks. Serum potassium 3.2 mEq/L below 3.5 risks arrhythmias under anesthesia, per lab standards, needing urgent surgeon review. Temperature 99.5°F is mild, not critical. Normal breath sounds and BP 135/80 are unremarkable. Hypokalemia's cardiac threat demands immediate action, an LPN priority, making it the correct finding.
Question 2 of 5
One measure to promote early patient ambulation and a return to independence in activities of daily living is to:
Correct Answer: B
Rationale: Early ambulation restores independence. A bedside commode eases toileting, encouraging movement post-op, per mobility protocols. Opening cartons helps eating, not ambulation. Games distract, not mobilize. Bathing in a chair is later-stage. Commode use reduces fall risk while promoting activity, an LPN task, making it the correct measure.
Question 3 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 4 of 5
You note a change in mental status in an older adult patient, with flushed, warm, dry skin, full pulse, and low urine output. The priority action is:
Correct Answer: C
Rationale: Altered mental status, warm/dry skin, and oliguria suggest sepsis. Taking vital signs first confirms severity (e.g., fever, tachycardia), per ABCs, guiding urgency. Notifying or drawing blood follows data. History delays. Vitals provide objective evidence, an LPN priority, making it the correct first action.
Question 5 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.