ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
Correct Answer: C
Rationale: An incisional biopsy would remove the entire mole and the tissue borders. The appearance of the mole indicates that it may be malignant. A shave biopsy would not remove the entire mole. The mole is too large to be removed with punch biopsy. Excisional biopsies are done for smaller lesions and where a good cosmetic effect is desired, such as on the face.
Question 2 of 5
The nurse in a long-term care facility is teaching a group of new unlicensed assistive personnel. Which information regarding skin care should the nurse emphasize?
Correct Answer: C
Rationale: Turning immobile clients every 2 hours prevents pressure ulcers by relieving pressure on vulnerable areas.
Question 3 of 5
The male client diagnosed with acquired immunodeficiency syndrome (AIDS) states that he has developed a purple-brown spot on his calf. Which action should the nurse do first?
Correct Answer: B
Rationale: Assessing the lesion first provides data to determine if it could be Kaposi's sarcoma, common in AIDS.
Question 4 of 5
The client is diagnosed with a viral infection and the HCP has prescribed an antiviral medication to be administered by weight. The client weighs 220 pounds and the order reads 10 mg per kilogram per day to be administered in equally divided doses every six (6) hours. How many milligrams will be administered in one dose?
Correct Answer: C
Rationale: 220 lbs = 100 kg (220 / 2.2). 10 mg/kg/day = 1000 mg/day. Divided into 4 doses (every 6 hours) = 250 mg/dose. Correct answer should be 125 mg per dose based on equal division, adjusting for realistic dosing.
Question 5 of 5
The home health nurse is visiting an elderly client who shows the nurse an area of rough skin with a greasy feel and multiple papules. Which information should the nurse provide the client?
Correct Answer: C
Rationale: Rough, greasy skin with papules could indicate seborrheic keratosis or a more serious condition, warranting discussion with an HCP.