ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A child who is intubated and on a mechanical ventilator is being transferred from the emergency department to the burn unit. Which action by the nurse takes priority?
Correct Answer: A
Rationale: Maintaining a patent airway is the priority in this child. The nurse should make sure an Ambu bag is at the bedside and that other emergency equipment is available.
Question 2 of 5
The client has been diagnosed with a stage 4 pressure ulcer with tunneling. Which intervention should the nurse implement when instructed to apply a medicated rope dressing to the wound?
Correct Answer: C
Rationale: Inserting a medicated rope dressing into the tunnel with a sterile cotton swab promotes healing. Questioning is unnecessary, topical anesthetics aren't used, and saline precedes, not follows, dressing.
Question 3 of 5
Which procedure should the nurse teach the client who is scheduled for a chemical face peel?
Correct Answer: D
Rationale: Hexachlorophene cleansing reduces infection risk pre-peel. Makeup isn't restricted for a week prior, heat lamps aren't used, and antibiotics aren't standard pre-procedure.
Question 4 of 5
Which interleukin is used as an adjuvant immunotherapy for malignant melanoma?
Correct Answer: B
Rationale: Interleukin-2 is used as an adjuvant immunotherapy for malignant melanoma.
Question 5 of 5
What is the origin of a keratoacanthoma?
Correct Answer: A
Rationale: Keratoacanthomas originate from the hair follicle.