ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A nurse cares for a client who has burn injuries. The client's wife asks, 'When will his high risk for infection decrease?' How should the nurse respond?
Correct Answer: D
Rationale: Intact skin is a major barrier to infection; risk remains high until all wounds close.
Question 2 of 5
What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
Correct Answer: D
Rationale: Careful hand washing and the safe disposal of soiled dressings are the best means of preventing the spread of skin problems. Sterile glove and sterile saline use during wound care will not necessarily prevent spread of infection. Applying antibiotic ointment will treat the bacteria but not necessarily prevent the spread of infection.
Question 3 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 4 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 5 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.