ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
A nurse is preparing to discharge a patient from the emergency department after receiving treatment for an ankle sprain. While providing discharge education, the nurse should encourage which of the following?
Correct Answer: D
Rationale: Treatment of a sprain consists of resting and elevating the affected part, applying cold, and using a compression bandage. After the acute inflammatory stage (usually 24 to 48 hours after injury), heat may be applied intermittently. Rotation exercises would likely be painful.
Question 2 of 5
The nurse notes that a patient's fingertips are blue in color. What should this finding indicate to the nurse?
Correct Answer: D
Rationale: Cyanosis (blue discoloration) indicates poor perfusion or inadequate oxygenation of blood.
Question 3 of 5
The nurse is caring for a patient with 45% total body surface area thermal burns. Which laboratory value change would be expected?
Correct Answer: C
Rationale: Thermal burns cause cell damage, releasing potassium into the bloodstream (hyperkalemia), a common finding due to tissue destruction.
Question 4 of 5
During an assessment the nurse notes skin changes on the patient's elbows and knees. Which findings support that these changes are plaque psoriasis?
Correct Answer: B
Rationale: Plaque psoriasis typically presents as thick red plaques with silvery scales, especially on extensor surfaces like elbows and knees, distinguishing it from other descriptions.
Question 5 of 5
The structure(s) of the integumentary system involved in protection is (are)
Correct Answer: D
Rationale: The integumentary system includes hair, skin, and nails, all of which contribute to protection. Hair protects against UV radiation and debris, skin acts as a barrier, and nails protect finger and toe tips.