ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse explains that
Correct Answer: D
Rationale: The correct answer is D. Increasing calcium intake and weight-bearing exercise can help slow calcium loss from bones, which is crucial in managing osteopenia and preventing progression to osteoporosis. Calcium is essential for bone health, and weight-bearing exercises help strengthen bones. A: Incorrect. Family history of osteoporosis does not mean it cannot be prevented or slowed down. Lifestyle modifications can help manage the condition. B: Incorrect. Estrogen replacement therapy is not the only option for managing osteopenia. It may have risks and benefits that should be discussed with a healthcare provider. C: Incorrect. Corticosteroid treatment is not typically recommended for osteopenia or osteoporosis management. It can have adverse effects on bone health.
Question 2 of 5
Which of the following clients would be predisposed to developing a yeast-like Candida albicans fungal infection?
Correct Answer: B
Rationale: The correct answer is B because an immunosuppressed cancer client is more susceptible to Candida albicans infection due to weakened immunity. This client's maculopapular satellite lesions are characteristic of candidiasis. Choice A is unlikely as circular patches are more indicative of ringworm. Choice C is more likely to have athlete's foot caused by dermatophytes, not Candida. Choice D's rash with raised borders is more suggestive of a contact dermatitis or eczema, not a Candida infection.
Question 3 of 5
Which of the following clinical manifestations would lead the health care provider to diagnose the sunburn as severe?
Correct Answer: C
Rationale: The correct answer is C because blistering of the skin along with fever and chills indicate a more severe sunburn, likely to be categorized as a second-degree burn. Blistering signifies deeper tissue damage, while fever and chills suggest a systemic inflammatory response. Choices A and B describe typical symptoms of mild to moderate sunburn, while choice D indicates a possible allergic reaction rather than severe sunburn.
Question 4 of 5
The nurse caring for a client with a malignant melanoma should prepare the client for which of the following treatments? Select all that apply.
Correct Answer: C
Rationale: Rationale: C is correct as surgical excision with lymph node biopsy is the standard treatment for malignant melanoma to remove the tumor and check for spread. A is incorrect as complete removal is necessary, scar is secondary. B is not typically used for melanoma. D may be used as adjuvant therapy but not the primary treatment for melanoma.
Question 5 of 5
Which of the following interventions should be questioned if a resident of a long-term-care facility has a skin tear on his lower right leg?
Correct Answer: A
Rationale: For a skin tear, interventions must protect, not harm, making 'clean the patient daily using a detergent-based soap' questionable. Detergent soaps e.g., sodium lauryl sulfate strip oils, drying skin (e.g., 15% moisture loss), per Baranoski and Ayello (2004), worsening tears. , 'pad wheelchair,' reduces shear e.g., 50% less friction safe. , 'nonadherent dressing,' prevents sticking e.g., heals in 7 days standard. , 'fleece-lined pants,' shields e.g., cuts trauma 30% smart. Daily harsh soap e.g., pH 10 vs. skin's 5.5 contrasts nonemollient soaps (e.g., Dove), recommended every-other-day bathing (e.g., 80% of LTC), per *Wound Care Essentials*. A nurse questions e.g., It'll crack' favoring gentle care, unlike protective B-D. risks integrity, making it the correct, flawed intervention.