NCLEX Style Questions on Skin Integrity and Wound Care

ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 1 of 55

Which diagnostic test is most accurate for diagnosing osteoporosis?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 2 of 55

The nurse is applying wet dressings as ordered to a patient who has a crusted skin lesion. Which assessment finding should cause the nurse the most concern?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 3 of 55

The client with viral skin lesions is experiencing pruritus. Which statement would be an appropriate long-term goal?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 4 of 55

A nurse assesses a pressure ulcer on a child and finds full-thickness loss of the dermal layer and visible subcutaneous fat. At which stage does the nurse document this pressure ulcer to be?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 5 of 55

A nurse is preparing to discharge a patient from the emergency department after receiving treatment for an ankle sprain. While providing discharge education, the nurse should encourage which of the following?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 6 of 55

While waiting to see the physician, a patient shows the nurse skin areas that are flat, nonpalpable, and have had a change of color. The nurse recognizes that the patient is demonstrating what?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 7 of 55

The nurse is performing an initial assessment of a patient who has a raised, pruritic rash. The patient denies taking any prescription medication and denies any allergies. What would be an appropriate question to ask this patient at this time?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 8 of 55

A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which finding would the nurse anticipate when auscultating the client's breath sounds?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 9 of 55

A client is scheduled to undergo a prostate biopsy. When providing education concerning postoperative care related to the procedure, which of the following should be included?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 10 of 55

The nurse is caring for a client with a left fractured humerus. Which data warrant intervention by the nurse?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 11 of 55

Common sites for psoriasis include:

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 12 of 55

A nurse is performing a skin assessment of a client who is immobile and notes the presence of partial thickness skin loss of the upper layer of the skin in the sacral area. The nurse documents these findings as a:

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 13 of 55

The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 14 of 55

A 20 year-old is brought in by ambulance to the emergency department after being involved in a motorcycle accident. The patient has an open fracture of his tibia. The wound is highly contaminated and there is extensive soft-tissue damage. How would this patient's fracture likely be graded?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 15 of 55

The client has had a squamous cell carcinoma removed from the lip. Which discharge instruction should the nurse provide?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 16 of 55

During an assessment the nurse notes skin changes on the patient's elbows and knees. Which findings support that these changes are plaque psoriasis?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 17 of 55

The nurse is caring for a client who has had spinal fusion, with insertion of hardware. The nurse would be most concerned with which assessment finding?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 18 of 55

The mother of a severely handicapped child states she is exhausted and voices the need to 'take a break' to the nurse. What type of referral would best benefit the client?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 19 of 55

A nurse teaches a client to perform total skin self-examinations on a monthly basis. Which statement should the nurse include in this client's teaching?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 20 of 55

When assessing a lesion diagnosed as basal cell carcinoma, the nurse most likely expects to note which finding?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 21 of 55

After suffering a massive cerebral hemorrhage, a client of American Indian descent is not expected to survive. The family arrives at the hospital. In conversation with the family, they report they observe most of their religious and cultural traditions. Which of the following interventions by the nursing staff would be most appropriate?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 22 of 55

The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 23 of 55

A nurse is assessing the operative site in a client who underwent a breast reconstruction. The nurse is inspecting the flap and the areola of the nipple and notes that the areola is a deep red color around the edge. The nurse takes which action first?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 24 of 55

Which intervention should the nurse implement post-laminectomy?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 25 of 55

A client has been diagnosed with hyperthyroidism. The nurse monitors for which sign or symptom indicating a complication of this disorder?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 26 of 55

The structure(s) of the integumentary system involved in protection is (are)

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 27 of 55

Based on the data of a 66-year-old male with a sacral ulcer and low prealbumin, which action should the nurse take?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 28 of 55

The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 29 of 55

A teen has been taking griseofulvin(Fulvicin) for a fungal skin and scalp condition and reports that it is not working. Which action by the nurse is the most important?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 30 of 55

A nurse assesses a burn injury and determines that the client sustained a fullthickness fourth-degree burn if which of the following is noted at the site of injury?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 31 of 55

What would the nurse dressing a necrotic pressure injury with a minimal exudate most likely use?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 32 of 55

Which medication or treatment should the nurse discuss with a teenage client diagnosed with mild acne?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 33 of 55

The parents of a 2-year-old child diagnosed with measles call the pediatric clinic about the child being uncomfortable, irritable, and fretful. Which recommendation should the nurse discuss?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 34 of 55

Which of the following body areas would have a relatively large amount of Meissner's corpuscles?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 35 of 55

Which situation makes the nurse suspect the client has glaucoma?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 36 of 55

When paramedics notice singed hairs in the nose of a burn patient, it is recommended that the patient be intubated. What is the reasoning for the immediate intubation?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 37 of 55

What problem is most appropriate for the nurse to identify for a client with a closed fracture of the right arm?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 38 of 55

The nurse is caring for a patient with 45% total body surface area thermal burns. Which laboratory value change would be expected?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 39 of 55

A male client visits the physician's office for treatment of a skin disorder. As a primary treatment, the nurse expects the physician to prescribe:

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 40 of 55

The PACU nurse administers Narcan, an opioid antagonist, to a postoperative client. Which client problem should the nurse include to the plan of care based on this medication?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 41 of 55

The nurse is administering eyedrops to the client. Which guideline should the nurse adhere to when instilling the drops into the eye?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 42 of 55

Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 43 of 55

A 75-year-old patient questions the nurse about vaccination to prevent shingles. Which response is most appropriate?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 44 of 55

The most deadly skin cancer is

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 45 of 55

A nurse administers topical gentamicin sulfate (Garamycin) to a client's burn injury. Which laboratory value should the nurse monitor while the client is prescribed this therapy?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 46 of 55

The nurse notes that a patient's fingertips are blue in color. What should this finding indicate to the nurse?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 47 of 55

Which data indicates the fluid resuscitation is effective for a client who experienced an electrical burn resulting in full-thickness burns to the right and left hand?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 48 of 55

The nurse is preparing to administer influenza vaccines to a mass drive-through clinic. Which statement by a client would indicate further questioning prior to giving the client the influenza vaccine?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 49 of 55

Which type of capillary hemangioma is described by the following: isolated 'spiders' are present in normal people, but they are more common during pregnancy and in chronic liver disease. They comprise a central arteriole from which radiate capillaries. Pressure on the central arteriole with a pinhead causes the lesion to disappear while pressure is maintained

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 50 of 55

A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which finding supports this diagnosis?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 51 of 55

A client treated for pelvic inflammatory disease is preparing for discharge. During the teaching session, the use of tampons is discussed. Which of the following statements by the client indicate the understanding of the content provided?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 52 of 55

The clinic nurse is assessing the skin of a white client who is diagnosed with psoriasis. Which of the following characteristic is associated with this skin disorder?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 53 of 55

When assessing a lesion diagnosed as malignant melanoma, the nurse most likely expects to note which of the following?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 54 of 55

The client had an allergic reaction to poison oak two (2) weeks ago. He has returned to the clinic with severe itching and weeping vesicles on the arms and legs. Which intervention should the nurse implement?

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ATI LPN · NCLEX Style Questions on Skin Integrity and Wound Care

Question 55 of 55

The client sustained a hot grease burn to the right hand and calls the emergency room for advice. Which information should the nurse provide to the client?

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