ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 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.
Question 2 of 5
The client is admitted with full-thickness and partial-thickness burns to more than 30% of the body. The nurse is concerned with the client's nutritional status. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Encouraging favorite foods supports increased caloric intake needed for healing in burn patients with high metabolic demands.
Question 3 of 5
The client is admitted to the outpatient surgery center for removal of a malignant melanoma. Which assessment data indicate the lesion is a malignant melanoma?
Correct Answer: A
Rationale: Asymmetry and irregular borders are hallmark features of malignant melanoma per the ABCDE criteria.
Question 4 of 5
Which statement by the client diagnosed with chickenpox indicates that the client understands the teaching?
Correct Answer: B
Rationale: Scratching chickenpox lesions can lead to scarring and secondary infections, indicating understanding of proper care.
Question 5 of 5
The nurse is caring for the client diagnosed with contact dermatitis. Which collaborative intervention should the nurse implement?
Correct Answer: B
Rationale: Topical anti-inflammatory creams (e.g., steroids) are a standard collaborative treatment for contact dermatitis.