ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A client returns to the clinic for follow-up treatment following a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicates that the lesion is a melanoma. The nurse understands that melanoma has which characteristic?
Correct Answer: B
Rationale: Melanoma is known for its high metastatic potential.
Question 2 of 5
Which signs/symptoms indicate the client has developed osteoporosis?
Correct Answer: A
Rationale: Height loss suggests vertebral compression fractures, indicative of osteoporosis.
Question 3 of 5
What intervention should the nurse implement first for a client with an injury to the left arm?
Correct Answer: A
Rationale: Capillary refill assessment evaluates circulation and potential vascular compromise.
Question 4 of 5
The nurse is assessing the client who is postoperative total knee replacement. Which assessment data warrant immediate intervention?
Correct Answer: B
Rationale: Pain during dorsiflexion (positive Homans' sign) suggests a deep vein thrombosis, a critical complication.
Question 5 of 5
A client recovering from a total hip replacement has developed a deep vein thrombosis. The health-care provider has ordered a continuous infusion of heparin, an anticoagulant, to infuse at 1,200 units per hour. The bag comes with 20,000 units of heparin in 500 mL of 0.9% normal saline. At what rate should the nurse set the pump?
Correct Answer: B
Rationale: Calculation: (1,200 units/hr × 500 mL) / 20,000 units = 30 mL/hr, the correct infusion rate.