ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
A male client visits the physician's office for treatment of a skin disorder. As a primary treatment, the nurse expects the physician to prescribe:
Correct Answer: A
Rationale: Topical agents are commonly the first-line treatment for many skin disorders due to direct application to the affected area.
Question 2 of 5
When assessing a lesion diagnosed as malignant melanoma, the nurse most likely expects to note which of the following?
Correct Answer: C
Rationale: Malignant melanoma typically presents with asymmetry, irregular borders, and varying colors, distinguishing it from benign lesions.
Question 3 of 5
A teen has been taking griseofulvin(Fulvicin) for a fungal skin and scalp condition and reports that it is not working. Which action by the nurse is the most important?
Correct Answer: A
Rationale: The nurse should assess the teen for compliance with the medication regimen, because it takes at least 6 weeks for this medication to work.
Question 4 of 5
A nurse assesses a pressure ulcer on a child and finds full-thickness loss of the dermal layer and visible subcutaneous fat. At which stage does the nurse document this pressure ulcer to be?
Correct Answer: C
Rationale: A stage III pressure ulcer involves the full thickness of the dermis, possible visible subcutaneous fat, possible sloughing, and possible tunneling.
Question 5 of 5
Which data indicates the fluid resuscitation is effective for a client who experienced an electrical burn resulting in full-thickness burns to the right and left hand?
Correct Answer: C
Rationale: For an electrical burn, a urine output of 75 to 100 mL/hour indicates effective fluid resuscitation due to the need to flush myoglobin from muscle damage. Less than 30 mL/hour suggests inadequate resuscitation, 50 mL/hour is sufficient for thermal burns but not electrical, and over 200 mL/hour indicates excessive fluid loss.