ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
A client is scheduled to undergo a prostate biopsy. When providing education concerning postoperative care related to the procedure, which of the following should be included?
Correct Answer: B
Rationale: The client might experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided for only about 4 hours, not 24, and sexual contacts are irrelevant.
Question 2 of 5
A nurse teaches a client to perform total skin self-examinations on a monthly basis. Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: Clients should be taught to examine each lesion following the ABCDE features associated with skin cancer, including asymmetry of shape and border irregularity.
Question 3 of 5
Based on the data of a 66-year-old male with a sacral ulcer and low prealbumin, which action should the nurse take?
Correct Answer: B
Rationale: The low prealbumin count indicates poor nutritional status, putting the client at risk for inadequate wound healing, necessitating a dietary consult.
Question 4 of 5
A nurse administers topical gentamicin sulfate (Garamycin) to a client's burn injury. Which laboratory value should the nurse monitor while the client is prescribed this therapy?
Correct Answer: A
Rationale: Gentamicin is nephrotoxic; creatinine levels monitor kidney function.
Question 5 of 5
The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?
Correct Answer: C
Rationale: Fungal cultures are obtained by swabbing the affected area of the skin with cotton-tipped applicators. Sterile gloves are not needed because it is not a sterile procedure. Local injection is not needed because the swabbing is not usually painful. The patch test is done to determine whether a patient is allergic to specific testing material, not for obtaining fungal specimens.