ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which finding supports this diagnosis?
Correct Answer: B
Rationale: Because of the profound deficiency of insulin associated with DKA, glucose cannot be used for energy and the body breaks down fat as a secondary source of energy, leading to acidosis and potential coma. While deep, rapid breathing (Kussmaul's respirations) and elevated blood glucose are also signs, the comatose state is a critical indicator of severe untreated DKA.
Question 2 of 5
What would the nurse dressing a necrotic pressure injury with a minimal exudate most likely use?
Correct Answer: A
Rationale: Hydrocolloid dressings are useful in necrotic wounds with little exudate. Alginate and hydrofiber dressings are used for wounds with copious exudate. Transparent film is not absorbent.
Question 3 of 5
The most deadly skin cancer is
Correct Answer: A
Rationale: Malignant melanoma is a cancerous neoplasm that invades the epidermis, dermis, and sometimes the subcutaneous tissue, making it the most deadly skin cancer.
Question 4 of 5
A 75-year-old patient questions the nurse about vaccination to prevent shingles. Which response is most appropriate?
Correct Answer: C
Rationale: The vaccination should be considered by high-risk populations. About 50% of individuals over age 80 years will have the disease. The vaccination has been approved for use. The immunity provided is anticipated to last for 6 years.
Question 5 of 5
A nurse assesses a burn injury and determines that the client sustained a fullthickness fourth-degree burn if which of the following is noted at the site of injury?
Correct Answer: C
Rationale: Fourth-degree burns extend beyond the skin into underlying tissues (muscle, bone), often resulting in charring due to severe destruction.