ATI LPN
NCLEX Questions Integumentary System Questions
Question 1 of 5
A nurse assesses a client who has a chronic wound. The client states, 'I do not clean the wound and change the dressing every day because it costs too much for supplies.' How should the nurse respond?
Correct Answer: A
Rationale: For chronic wounds in the home, clean tap water and nonsterile supplies are acceptable and cheaper alternatives.
Question 2 of 5
A nurse plans care for a client with burn injuries. Which intervention should the nurse include to ensure adequate nutrition?
Correct Answer: D
Rationale: Collaboration with a dietitian ensures a tailored high-calorie, high-protein diet.
Question 3 of 5
A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
Correct Answer: D
Rationale: Because the only risk factor that the patient can change is the use of a tanning booth, the nurse should focus teaching about melanoma prevention on this factor. The other factors also will contribute to increased risk for melanoma.
Question 4 of 5
The client comes into the emergency room in severe pain and reports that a pot of boiling hot water accidentally spilled on his lower legs. The assessment reveals blistered, mottled red skin, and both feet are edematous. Which depth of burn should the nurse document?
Correct Answer: B
Rationale: Deep partial-thickness burns involve blisters, mottled red skin, and edema, affecting both the epidermis and deeper dermis, which matches the description.
Question 5 of 5
Which intervention should be included in the plan of care for a client with stage IV pressure ulcers?
Correct Answer: B
Rationale: A dietitian consult addresses nutritional needs critical for healing stage IV pressure ulcers.