ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A client with a nursing diagnosis of Communication: Impaired, Verbal related to hearing deficit would expect which action in the plan of care?
Correct Answer: A
Rationale: Facing the client aids lip-reading, and alternative methods enhance communication. Loud high-pitched speech and repetitive wording can frustrate, while gestures aid understanding.
Question 2 of 5
A nurse plans care for a client who has a wound that is not healing. Which focused assessment should the nurse complete next to develop the client's plan of care?
Correct Answer: D
Rationale: Nutritional status can have a significant impact on wound healing. Prealbumin laboratory results provide information related to protein deficiencies, which are critical for wound healing.
Question 3 of 5
A nurse assesses a client who has a lesion on the skin that is suspicious for skin cancer. Which diagnostic test should the nurse anticipate being ordered for this client?
Correct Answer: A
Rationale: This lesion is suspicious for skin cancer, and a biopsy is needed for diagnosis.
Question 4 of 5
A nurse cares for a client who has burn injuries. The client's wife asks, 'When will his high risk for infection decrease?' How should the nurse respond?
Correct Answer: D
Rationale: Intact skin is a major barrier to infection; risk remains high until all wounds close.
Question 5 of 5
A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse best assess this patient for cyanosis?
Correct Answer: C
Rationale: Cyanosis in dark-skinned individuals is more easily seen in the mucous membranes. Earlobe color may change in light-skinned individuals, but this change in skin color is difficult to detect on darker skin. Application of pressure to the palms of the hands and nail bed assessment would check for adequate circulation but not for skin color.