NCLEX Skin Integrity Questions

ATI RN · NCLEX Skin Integrity Questions

Question 1 of 42

Which layer of the epidermis contains melanocytes?

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ATI RN · NCLEX Skin Integrity Questions

Question 2 of 42

The patient's incision is fading to a pale pink following surgery 2 months previously. Which stage of the healing describes the current status of the patient's wound?

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ATI RN · NCLEX Skin Integrity Questions

Question 3 of 42

A patient who has had open reduction and internal fixation (ORIF) of a hip fracture tells the nurse he is ready to get out of bed for the first time. Which action should the nurse take?

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ATI RN · NCLEX Skin Integrity Questions

Question 4 of 42

Which of the following actions could result in pressure ulcer formation?

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ATI RN · NCLEX Skin Integrity Questions

Question 5 of 42

Atopic dermatitis can be described as: Select all that apply.

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ATI RN · NCLEX Skin Integrity Questions

Question 6 of 42

Which diagnostic test result is consistent with a diagnosis of septic shock?

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ATI RN · NCLEX Skin Integrity Questions

Question 7 of 42

A client receiving intravenous antibiotics for 3 days as treatment for cellulitis is being prepared for discharge. Which discharge order should the nurse anticipate for this client?

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ATI RN · NCLEX Skin Integrity Questions

Question 8 of 42

The day after a 60-yr-old patient has open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the nurse identifies the priority nursing diagnosis as

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ATI RN · NCLEX Skin Integrity Questions

Question 9 of 42

Of the many topics that may be taught to patients or caregivers about home wound care, which one is the most significant in preventing wound infections?

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ATI RN · NCLEX Skin Integrity Questions

Question 10 of 42

Which actions should the nurse take to help the client with bowel and bladder dysfunction reduce the risk of infection? Select the one that does not apply

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ATI RN · NCLEX Skin Integrity Questions

Question 11 of 42

A pregnant client tested positive for group B streptococcus during her 36-week checkup. For which intervention should the nurse prepare the client in order to prevent transmission of infection to the neonate?

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ATI RN · NCLEX Skin Integrity Questions

Question 12 of 42

When examining an older patient in the home, the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body. Which action should the nurse take first?

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ATI RN · NCLEX Skin Integrity Questions

Question 13 of 42

An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to

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ATI RN · NCLEX Skin Integrity Questions

Question 14 of 42

When a patient arrives in the emergency department with a facial fracture, which action will the nurse take first?

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ATI RN · NCLEX Skin Integrity Questions

Question 15 of 42

Which finding for a 77-yr-old patient seen in the outpatient clinic requires further nursing assessment and intervention?

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ATI RN · NCLEX Skin Integrity Questions

Question 16 of 42

The patient's sacral pressure injury is open with exposed bone. Which pressure injury stage will be recorded in the patient's chart?

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ATI RN · NCLEX Skin Integrity Questions

Question 17 of 42

Which interventions should the nurse incorporate into the plan of care for a client diagnosed with influenza? Select the one that does not apply

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ATI RN · NCLEX Skin Integrity Questions

Question 18 of 42

A nurse is teaching a patient with contact dermatitis of the arms and legs about ways to decrease pruritus. Which information should the nurse include in the teaching plan(select the one that does not apply)?

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ATI RN · NCLEX Skin Integrity Questions

Question 19 of 42

Which instruction should the nurse provide to an adolescent client with otitis media with regard to pain?

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ATI RN · NCLEX Skin Integrity Questions

Question 20 of 42

Which information in a 67-yr-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

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ATI RN · NCLEX Skin Integrity Questions

Question 21 of 42

The nurse is collaborating with the dietitian about a patient with a Stage III pressure ulcer. Which nutrient will the nurse most likely increase after collaboration with the dietitian?

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ATI RN · NCLEX Skin Integrity Questions

Question 22 of 42

A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?

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ATI RN · NCLEX Skin Integrity Questions

Question 23 of 42

The healthcare provider prescribes an indwelling urinary catheter for a client with urinary retention. Which intervention, along with strict aseptic technique, will decrease the risk of infection for this procedure?

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ATI RN · NCLEX Skin Integrity Questions

Question 24 of 42

The nurse is caring for a patient who is experiencing a full-thickness repair. Which type of tissue will the nurse expect to observe when the wound is healing?

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ATI RN · NCLEX Skin Integrity Questions

Question 25 of 42

Which layer of the skin contains cells that are undergoing mitosis?

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ATI RN · NCLEX Skin Integrity Questions

Question 26 of 42

A nurse documents a closed wound on a patient chart. Which of the following is an example of a closed wound?

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ATI RN · NCLEX Skin Integrity Questions

Question 27 of 42

The patient just sustained a deep laceration that is bleeding profusely. Which stage of healing describes the current state of the patient's wound?

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ATI RN · NCLEX Skin Integrity Questions

Question 28 of 42

A patient with a fracture of the left femoral neck has Buck's traction in place while waiting for surgery. To assess for pressure areas on the patient's back and sacral area and to provide skin care, the nurse should

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ATI RN · NCLEX Skin Integrity Questions

Question 29 of 42

A patient who slipped and fell in the shower at home has a proximal left humerus fracture immobilized with a long-arm cast and a sling. Which nursing intervention will be included in the plan of care?

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ATI RN · NCLEX Skin Integrity Questions

Question 30 of 42

The nurse is caring for an older adult client who is hospitalized with a second episode of pneumonia in the past 18 months. The client has expressed frustration to the nurse and states, 'I never got sick when I was younger. Why is this happening?' Which response by the nurse is most appropriate?

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ATI RN · NCLEX Skin Integrity Questions

Question 31 of 42

The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?

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ATI RN · NCLEX Skin Integrity Questions

Question 32 of 42

The nurse is caring for a patient who has suffered a stroke and has residual mobility problems. The patient is at risk for skin impairment. Which initial actions should the nurse take to decrease this risk?

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ATI RN · NCLEX Skin Integrity Questions

Question 33 of 42

Aaron is wearing anti-embolic stockings (TED hose) how should the nurse assess these areas wearing the TED hose?

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ATI RN · NCLEX Skin Integrity Questions

Question 34 of 42

A client is admitted to the intensive care unit with a systemic infection. Which manifestations will the nurse most likely assess in this client? Select all that apply.

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ATI RN · NCLEX Skin Integrity Questions

Question 35 of 42

The nurse is completing a skin risk assessment using the Braden Scale. The patient has slight sensory impairment, has skin that is rarely moist, walks occasionally, and has slightly limited mobility, along with excellent intake of meals and no apparent problem with friction and shear. Which score will the nurse document for this patient?

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ATI RN · NCLEX Skin Integrity Questions

Question 36 of 42

A nurse assesses an area of pale white skin over a patient's coccyx. After turning the patient on her side, the skin becomes red and feels warm. What should the nurse do about these assessments?

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ATI RN · NCLEX Skin Integrity Questions

Question 37 of 42

Which one of the following skin disorders seen in elderly persons is considered a premalignant lesion?

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ATI RN · NCLEX Skin Integrity Questions

Question 38 of 42

Which assessment finding for a patient who has had surgical reduction of an open fracture of the right radius requires notification of the health care provider?

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ATI RN · NCLEX Skin Integrity Questions

Question 39 of 42

Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?

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ATI RN · NCLEX Skin Integrity Questions

Question 40 of 42

A nurse is caring for a client with tuberculosis (TB) who is taking rifampin for treatment of the disease. Which nursing interventions are appropriate for this client? Select all that apply.

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ATI RN · NCLEX Skin Integrity Questions

Question 41 of 42

Which protective equipment will the nurse use when providing the prescribed wound care for MRSA?

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ATI RN · NCLEX Skin Integrity Questions

Question 42 of 42

The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis. Which statement made by the mother indicates teaching has been effective?

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