ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
You know that acute and chronic pain may be handled differently. Which of the following is correct?
Correct Answer: D
Rationale: Chronic pain persistent, complex benefits from holistic care (Choice D), per pain guidelines, using meds, therapy, and lifestyle. Hypnotherapy aids chronic, not acute. PCA suits acute post-op, not chronic. Acute pain is manageable with protocols. Holistic management addresses chronic pain's breadth, an LPN approach, making it the correct statement.
Question 2 of 5
How should the nurse document a healing Stage III pressure ulcer with healthy tissue observed?
Correct Answer: C
Rationale: A Stage III pressure ulcer involves full-thickness skin loss with visible fat. When healing with healthy tissue, it's documented as 'Healing Stage III' (Choice C), per staging guidelines, retaining its original stage while noting progress. Stage I is nonblanchable redness, not applicable. Healing Stage II implies partial-thickness, underrepresenting depth. Stage III without 'healing' ignores improvement. Accurate documentation reflects the wound's history and current state, aiding care continuity and reimbursement, making 'Healing Stage III' the correct choice for this scenario.
Question 3 of 5
For which type of healing will the nurse focus the care plan for a patient who has experienced a laparoscopic appendectomy?
Correct Answer: D
Rationale: A laparoscopic appendectomy, with small, clean incisions, heals by primary intention (Choice D), per the text, where edges are approximated, minimizing infection risk and scarring. Partial-thickness repair is for shallow wounds. Secondary intention suits open, tissue-loss wounds. Tertiary intention delays closure. Primary intention's quick healing guides nurses to monitor for infection and support closure, making this the correct focus for care planning.
Question 4 of 5
Which assessment data will be most important for the nurse to gather with regard to wound healing?
Correct Answer: B
Rationale: Pulse oximetry measures oxygen saturation, vital for wound healing, per the text, as oxygen fuels cellular repair. Muscular strength and sensation assess mobility and nerve function, not healing directly. Sleep aids recovery but isn't specific. Adequate oxygenation (e.g., >90%) prevents hypoxia-related delays, making this the correct priority data for nurses to gather.
Question 5 of 5
Which action will the nurse take next if a wound drain's collection device shows a sudden decrease in drainage?
Correct Answer: A
Rationale: A sudden drainage drop suggests blockage (Choice A), per the text, requiring provider notification for intervention. Charting delays action. Compression doesn't confirm patency. Nurses don't remove drains (Choice D). Prompt reporting prevents complications like fluid buildup, making this the correct next step.