ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing. Which action should the nurse take first?
Correct Answer: C
Rationale: Drooling and difficulty swallowing suggest an inhalation injury; auscultating breath sounds assesses airway patency.
Question 2 of 5
A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?
Correct Answer: A
Rationale: Thinning of the skin indicates that atrophy, a possible adverse effect of topical corticosteroids, is occurring. The health care provider should be notified so that the medication can be changed or tapered. Alopecia, red-brown discoloration, and dryness/scaling of the skin are not adverse effects of topical corticosteroid use.
Question 3 of 5
The intensive care unit (ICU) burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority?
Correct Answer: A
Rationale: Infection is the priority due to the extensive loss of skin barrier, increasing susceptibility to pathogens in severe burns.
Question 4 of 5
Which client is at the greatest risk for the development of skin cancer?
Correct Answer: D
Rationale: Fair complexion and inability to tan increase UV damage risk, the primary factor in skin cancer.
Question 5 of 5
The client is complaining of burning, lancinating, stabbing pain that radiates around the left rib cage area. The nurse cannot find any type of skin abnormality. Which action should the nurse implement?
Correct Answer: D
Rationale: The pain description suggests herpes zoster (shingles), linked to prior chickenpox, warranting this question first.