ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A female client with second- and third-degree burns on the arms receives autografts. Two days later, the nurse finds the client doing arm exercises. The nurse knows that this client should avoid exercise because it may:
Correct Answer: A
Rationale: Early exercise can dislodge autografts before they fully adhere, compromising graft success.
Question 2 of 5
The client arrives at the emergency department and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?
Correct Answer: A
Rationale: Frostbite causes vasoconstriction and tissue freezing, leading to a white, numb appearance due to lack of blood flow and sensation.
Question 3 of 5
A toddler has a few vesicular lesions on his hands that rupture, producing a honey-colored, sticky exudate. Based on this assessment, which medication does the nurse teach the parents about?
Correct Answer: D
Rationale: This child has impetigo, which is treated in one of two ways. For limited lesions(which this child has), topical Bactroban is appropriate.
Question 4 of 5
A child has been in the burn unit for 13 days. Which nursing assessment indicates that a priority goal has been met?
Correct Answer: D
Rationale: Nutrition is an important problem for the child with burns, as the child is hypermetabolic and needs a high-calorie, high-protein diet. Children are generally weighed twice a week in the burn center. A weight gain shows that nutritional needs are being met.
Question 5 of 5
The nurse provides anticipatory guidance to parents telling them the maximum water temperature for bathing children is which temperature?
Correct Answer: C
Rationale: The maximum safe water temperature for bathing children is 120°F (48.9°C) to prevent scald burns. Higher temperatures like 140°F can cause severe burns quickly, especially in young children with sensitive skin.