ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 9
A 38-year-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: Because fluorouracil is teratogenic, it is essential that the patient use a reliable method of birth control. The other information is also important for the nurse to obtain, but lack of reliable birth control has the most potential for serious adverse medication effects.
Question 2 of 9
The nurse describes several types of burn treatment. Which statement best describes the closed technique?
Correct Answer: C
Rationale: The closed technique involves covering the wound with ointment and gauze saturated with medication.
Question 3 of 9
Which task is most appropriate for the nurse to delegate to UAP?
Correct Answer: D
Rationale: Transport tasks are appropriate for delegation to UAP.
Question 4 of 9
In caring for a stage IV pressure ulcer, the nurse assesses creamy yellow drainage with a necrotic odor. Which type of bacteria most likely causes this exudate?
Correct Answer: C
Rationale: Creamy yellow drainage is usually caused by Staphylococcus infections. Proteus is associated with a beige discharge having a fishy odor. Brown discharge having a fecal odor is seen in Bacteroides. Pseudomonas-containing wounds produce a green-blue discharge with a fruity odor.
Question 5 of 9
The nurse provides anticipatory guidance to parents telling them the maximum water temperature for bathing children is which temperature?
Correct Answer: C
Rationale: The maximum safe water temperature for bathing children is 120°F (48.9°C) to prevent scald burns. Higher temperatures like 140°F can cause severe burns quickly, especially in young children with sensitive skin.
Question 6 of 9
Which recommendation should the nurse suggest to an elderly client who lives alone when discussing normal developmental changes of the olfactory organs?
Correct Answer: A
Rationale: Decreased olfactory function with aging impairs smoke detection; multiple smoke alarms enhance safety for an elderly client living alone.
Question 7 of 9
What is the last intervention for a hospitalized severely burned victim during the emergent phase?
Correct Answer: A
Rationale: The priority of care should proceed from the establishment of an airway, initiation of fluid therapy, insertion of Foley and NG tube, administration of analgesics, and tetanus prophylaxis.
Question 8 of 9
In a client with human immunodeficiency virus (HIV), the nurse should assess for which complications that might be present?
Correct Answer: A
Rationale: HIV-related eye complications include Kaposi neoplasms, cotton-wool spots, and CMV retinitis due to immune suppression. Retinitis pigmentosa and exudative macular degeneration are unrelated to HIV.
Question 9 of 9
A nurse is preparing to perform the physical assessment of a newly admitted patient. During which of the following components of the assessment should the nurse wear gloves?
Correct Answer: B
Rationale: Gloves are worn during skin examination if a rash or lesions are to be palpated. It is not normally necessary to wear gloves to palpate intact skin unless contact with body fluids is foreseeable.