ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
You find a confused patient with a history of falls attempting to get out of bed. To maintain the patient's self-esteem and safety, your intervention should be to:
Correct Answer: D
Rationale: For a confused patient with fall risk, ascertaining their need e.g., bathroom preserves dignity while addressing safety, per least-restrictive principles. Restraints limit autonomy, risking harm, and require orders. Sedatives sedate unnecessarily without addressing intent. Bed alarms alert but don't prevent falls proactively. Understanding the patient's goal allows redirection (e.g., assistance to toilet), balancing safety and self-esteem per LPN standards, making it the correct intervention.
Question 2 of 5
When setting priorities of patient needs according to Maslow's hierarchy, you should:
Correct Answer: B
Rationale: Maslow's hierarchy prioritizes survival. Airway status breathing is the top physiologic need, per nursing triage (ABC: airway, breathing, circulation). Physiologic needs alone are too broad. Safety follows survival. Self-esteem ranks below security. Airway obstruction kills fastest, so LPNs address it first (e.g., suctioning), aligning with emergency care standards, making this the correct priority.
Question 3 of 5
Surgical risk factors include:
Correct Answer: A
Rationale: Surgical risks stem from conditions impairing healing or anesthesia tolerance. Obesity increases complications (e.g., infection, breathing issues), per perioperative guidelines. Malnutrition delays recovery but is less immediate. Age 51 isn't inherently risky elderly status (65+) is. Diabetes is significant but manageable. Obesity's broad impact (e.g., wound dehiscence) makes it a top concern LPNs monitor, making it the correct risk factor.
Question 4 of 5
While transferring to the surgical suite, the patient asks, 'Am I going to make it?' An appropriate response would be:
Correct Answer: C
Rationale: A therapeutic response addresses emotion.'You seem anxious. Tell me more' validates fear, encouraging expression per communication standards. Reassurance dismisses concern. Questioning surgeon discussion deflects. Surgeon experience sidesteps feelings. Exploring anxiety aids coping and assessment, an LPN skill, making it the correct and most supportive response.
Question 5 of 5
You know that care for a patient having spinal anesthesia differs from general anesthesia in that during recovery:
Correct Answer: B
Rationale: Spinal anesthesia blocks nerves regionally. Lower body flaccidity occurs post-op as motor function lags, per anesthesia texts, unlike general's full unconsciousness (Choice A). Eating waits for gag reflex return. Airway is less critical than with general. Flaccidity guides LPN positioning, making it the correct difference.