ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
You are admitting a patient with an infected abdominal wound with MRSA. Appropriate nursing care includes:
Correct Answer: A
Rationale: MRSA requires infection control. Monitoring temperature and WBC tracks infection, per nursing standards, as fever/leukocytosis signal spread. Intake/output is unrelated. Respiratory precautions fit TB, not MRSA (contact). Hallway ambulation risks transmission. Temp/WBC monitoring guides treatment, an LPN task, making it the correct care.
Question 2 of 5
A patient with osteoarthritis has daily right knee pain. This type of pain usually has the best result if treated by:
Correct Answer: B
Rationale: Osteoarthritis pain inflammatory, mechanical responds best to ibuprofen (Choice B), an NSAID reducing inflammation, per arthritis guidelines. Oxycodone is for severe pain, not first-line. Lyrica targets neuropathic pain. Prednisone is for flares, not daily. Ibuprofen balances efficacy and safety, an LPN med option, making it the correct treatment.
Question 3 of 5
You are caring for a patient with an epidural infusion. Which sign requires immediate provider notification?
Correct Answer: A
Rationale: Epidural analgesia risks hypotension from vasodilation. BP 80/60 signals shock, needing urgent notification, per anesthesia protocols. Temp 99.5°F is mild. Respirations 12/min are normal. Low urine is concerning but slower. Hypotension threatens perfusion, an LPN alert, making it the correct sign.
Question 4 of 5
How will the nurse stage a shallow open reddish, pink ulcer without slough on the right heel?
Correct Answer: B
Rationale: A shallow, reddish-pink ulcer without slough is a Stage II pressure ulcer (Choice B), per NPUAP staging, indicating partial-thickness loss of epidermis/dermis, often appearing as a blister or crater. Stage I is intact skin with redness. Stage III involves deeper fat exposure. Stage IV shows bone or muscle. The heel's description open, shallow, no slough fits Stage II's clinical presentation, requiring moisture-retentive dressings, making this the correct staging for nurses to document and treat appropriately.
Question 5 of 5
Which type of wound healing will the nurse consider when planning care for a patient in the burn unit?
Correct Answer: B
Rationale: Burns, with significant tissue loss, heal by secondary intention (Choice B), per the text, where the wound fills with scar tissue over time, increasing infection risk. Partial-thickness repair is for minor skin loss. Tertiary intention delays closure. Primary intention is for surgical wounds. Secondary intention's prolonged process requires nurses to manage infection and granulation, making this the correct healing type for burn care planning.