ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 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 2 of 5
Which medication or treatment should the nurse discuss with a teenage client diagnosed with mild acne?
Correct Answer: D
Rationale: Benzoyl peroxide suppresses P. acnes and promotes peeling for mild acne. Botox is for wrinkles, vitamin E worsens oiliness, and isotretinoin is for severe acne.
Question 3 of 5
The parents of a 2-year-old child diagnosed with measles call the pediatric clinic about the child being uncomfortable, irritable, and fretful. Which recommendation should the nurse discuss?
Correct Answer: C
Rationale: Acetaminophen reduces discomfort in measles. Aspirin risks Reye's syndrome, diphenhydramine cream isn't suitable, and denying medication ignores symptom relief options.
Question 4 of 5
Which type of capillary hemangioma is described by the following: isolated 'spiders' are present in normal people, but they are more common during pregnancy and in chronic liver disease. They comprise a central arteriole from which radiate capillaries. Pressure on the central arteriole with a pinhead causes the lesion to disappear while pressure is maintained
Correct Answer: D
Rationale: Spider nevi are characterized by a central arteriole with radiating capillaries and are more common in pregnancy and chronic liver disease.
Question 5 of 5
Common sites for psoriasis include:
Correct Answer: C
Rationale: Psoriasis commonly affects the elbows, knees, and scalp.