ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A patient has a leg wound that has beige exudate and a fishy odor. For which microorganism should the nurse plan care for this patient?
Correct Answer: A
Rationale: Proteus infections are known for producing a fishy odor and beige exudate due to their urease-producing nature, distinguishing them from other listed microorganisms.
Question 2 of 5
A type of burn that affects all the epidermis and part of the dermis:
Correct Answer: B
Rationale: Second-degree burns involve the entire epidermis and part of the dermis, causing blisters.
Question 3 of 5
A female client with second- and third-degree burns on the arms receives autografts. Two days later, the nurse finds the client doing arm exercises. The nurse knows that this client should avoid exercise because it may:
Correct Answer: A
Rationale: Early exercise can dislodge autografts before they fully adhere, compromising graft success.
Question 4 of 5
Nurse Mary is caring for a wheelchair-bound client. Which piece of equipment impedes circulation to the area it is meant to protect?
Correct Answer: A
Rationale: Ring or donut cushions can increase pressure around the edges, impeding circulation and worsening skin breakdown.
Question 5 of 5
The client arrives at the emergency department and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?
Correct Answer: A
Rationale: Frostbite causes vasoconstriction and tissue freezing, leading to a white, numb appearance due to lack of blood flow and sensation.