ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A nurse is caring for four patients on a general pediatric unit. The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four. Which patients skin should the nurse assess first?
Correct Answer: D
Rationale: Immobility is a major risk factor for impaired skin integrity. The nurse should first assess the child in traction, as this child is the least mobile.
Question 2 of 5
The HCP ordered lindane to be administered to the client from an extended care facility who is diagnosed with scabies. Which intervention should the nurse implement?
Correct Answer: B
Rationale: For scabies, bathe the client, apply lindane lotion from neck down (avoiding face/meatus), and remove after 8-12 hours. Scalp application is for lice, scraping isn't done, and shampooing is incorrect for scabies.
Question 3 of 5
The client has been applying a topical hydrocortisone cream to dry, rough skin for more than 2 years. Which data should the nurse assess in the client?
Correct Answer: C
Rationale: Prolonged topical steroid use causes skin atrophy (thinning, striae, purpura). Systemic effects like adrenal insufficiency or Cushing's features (buffalo hump, moon face) are unlikely, and glucose isn't directly affected.
Question 4 of 5
Which type of capillary hemangioma is described by the following: these are found on the trunk of middle-aged and elderly subjects. They are bright red aggregates of dilated capillaries, which can be emptied by pressing on them with the tip of a pencil. They are of no significance
Correct Answer: C
Rationale: Campbell de Morgan spots are insignificant vascular lesions found on the trunk.
Question 5 of 5
There is no cure for eczema so treatment aims to:
Correct Answer: B
Rationale: The main goal of eczema treatment is to control or ease symptoms since there is no cure.