ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
Correct Answer: B
Rationale: The correct answer is B. The method of contraception used by the patient is crucial because fluorouracil is a teratogenic medication, meaning it can cause birth defects. Therefore, it is essential to determine the patient's contraceptive method to ensure she is not at risk of becoming pregnant while using this medication. Choice A (History of sun exposure) may be relevant but not as critical as ensuring the patient is using proper contraception. Choice C (Length of time using fluorouracil) is important but does not address immediate safety concerns. Choice D (Appearance of treated areas) is important for monitoring treatment progress but does not impact the patient's safety like contraception does.
Question 2 of 5
The nurse notes the presence of white lesions that resemble milk curds in the back of a patient’s throat. Which question by the nurse is appropriate at this time?
Correct Answer: A
Rationale: The correct answer is A: Are you taking any medications? This question is appropriate because white lesions resembling milk curds in the throat could indicate oral thrush, a fungal infection common in individuals on certain medications like antibiotics or corticosteroids. Asking about medications can help identify the underlying cause. Summary of other choices: B: Do you have a productive cough? - This question is not directly related to the presence of white lesions in the throat. C: How often do you brush your teeth? - Oral hygiene practices are important, but not likely the cause of white lesions. D: Have you had an oral herpes infection? - Oral herpes typically presents as cold sores, not white lesions resembling milk curds in the throat.
Question 3 of 5
When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. What is the nurse’s most important action?
Correct Answer: C
Rationale: The correct answer is C: Consult with the health care provider about the need for further diagnostic testing. The nurse's most important action is to investigate the underlying cause of the patient's symptoms, as dry, scaly skin; thin hair; and thick, brittle nails can be indicative of various underlying health conditions such as thyroid disorders, nutritional deficiencies, or skin disorders. By consulting with the health care provider for further diagnostic testing, the nurse can determine the root cause of the symptoms and develop an appropriate treatment plan. Choice A is incorrect because while nutrition is important for skin health, the patient's symptoms may be indicative of a more serious underlying health issue that needs to be addressed first. Choice B is incorrect as referring to a podiatrist for nail trimming does not address the underlying cause of the symptoms. Choice D is incorrect as using moisturizing creams may provide temporary relief but does not address the root cause of the issue.
Question 4 of 5
A patient complains of shoulder pain when the nurse moves the patient’s arm behind the back. Which question should the nurse ask?
Correct Answer: B
Rationale: The correct answer is B: Do you have difficulty when you are putting on a shirt? This question is relevant because it specifically addresses the motion that triggers the patient's shoulder pain. It helps to assess the range of motion and identify any limitations or discomfort during activities involving arm movement behind the back. A: Are you able to feed yourself without difficulty? - While this question addresses arm movement, it does not specifically target the motion that triggers the pain. C: Are you able to sleep through the night without waking? - This question does not directly relate to the shoulder pain triggered by arm movement behind the back. D: Do you ever have trouble lowering yourself to the toilet? - This question does not address the specific movement causing the shoulder pain and is not as relevant for assessing the patient's condition.
Question 5 of 5
A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA) testing. The nurse will plan to
Correct Answer: A
Rationale: The correct answer is A: explain the procedure. This is important because in a DXA testing, there is no contrast medium or sedative required, so starting an IV line for contrast medium injection (B) and giving an oral sedative (C) are unnecessary. Screening for allergies to shellfish or iodine products (D) is also irrelevant since these are not used in DXA testing. A thorough explanation of the procedure ensures the patient understands what to expect and can help alleviate any anxiety or concerns they may have.