ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A patient has presented to the emergency department with an injury to the wrist. The patient is diagnosed with a third-degree strain. Why would the physician order an x-ray of the wrist?
Correct Answer: C
Rationale: An x-ray should be obtained to rule out bone injury, because an avulsion fracture (in which a bone fragment is pulled away from the bone by a tendon) may be associated with a third-degree strain. Nerve damage, compartment syndrome, and greenstick fractures are not associated with third-degree strains.
Question 2 of 5
The nurse is assisting with the secondary survey of a patient with 50% total body surface area electrical burns. Which test would be a priority for this patient?
Correct Answer: D
Rationale: Electrical burns can cause cardiac arrhythmias due to current passing through the body, making a 12-lead ECG a priority to assess heart function.
Question 3 of 5
A patient is diagnosed with tinea corporis. Which medication should the nurse expect to be prescribed to treat this infection?
Correct Answer: B
Rationale: Topical terbinafine is a highly effective antifungal for tinea corporis, targeting the fungal cell membrane, and is commonly prescribed over the other options.
Question 4 of 5
The nurse sends 10 samples of body sites to assess an intensive care patient's Candida colonization index. Seven of the samples came back as being positive. What is this patient's colonization index?
Correct Answer: B
Rationale: The colonization index is calculated as the ratio of positive sites to total sites (7/10 = 0.7), indicating significant Candida presence.
Question 5 of 5
If a 35 year old female has a thigh measurement of 34 mm, iliac crest of 12 mm, and triceps of 25 mm, what is her percent body fat?
Correct Answer: B
Rationale: Using the Jackson-Pollock 3-site formula for women: sum = 71 mm, body fat ≈ 25% (exact calculation varies by chart, but 25% is typical).