ATI LPN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 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.
Question 2 of 5
You assume care of a patient with active pulmonary tuberculosis. Appropriate management includes:
Correct Answer: C
Rationale: TB spreads via droplets. Standard Precautions plus airborne precautions e.g., N95 masks, negative pressure rooms control transmission, per CDC. Special rooms are part but incomplete. Face shield/gown fits contact, not airborne. Antimicrobials treat, not manage spread. Airborne precautions are the core, an LPN duty, making it the correct management.
Question 3 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 4 of 5
A 25-year-old patient complains of moderate incision pain post-morphine IV. The most appropriate action after injection is:
Correct Answer: B
Rationale: Post-IV morphine (peak 20-30 min), encouraging rest enhances relief, per pain protocols, calming the patient. Evaluating in 2 hours delays 30 min is standard. Distraction is adjunct, not primary. Ibuprofen overlaps unnecessarily. Rest leverages morphine's effect, an LPN step, making it the correct action.
Question 5 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.