ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which finding would the nurse anticipate when auscultating the client's breath sounds?
Correct Answer: B
Rationale: Pulmonary edema from MI causes crackles due to fluid in the alveoli.
Question 2 of 5
A client has been diagnosed with hyperthyroidism. The nurse monitors for which sign or symptom indicating a complication of this disorder?
Correct Answer: A
Rationale: Fever can indicate thyroid storm, a life-threatening complication of hyperthyroidism, characterized by hypermetabolism, unlike lethargy or bradycardia, which suggest hypothyroidism.
Question 3 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 4 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 5 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.