ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A patient is to undergo a punch biopsy of a lesion. What should the nurse anticipate when assisting in the collection of this specimen?
Correct Answer: C
Rationale: Local anesthesia is typically administered before a punch biopsy to minimize discomfort.
Question 2 of 5
The nurse is concerned that a patient is developing a complicated soft tissue bacterial infection. Which assessment finding is most indicative of this condition?
Correct Answer: D
Rationale: Low blood pressure suggests systemic involvement (e.g., sepsis) in a complicated infection, beyond localized symptoms like pain or fever.
Question 3 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 4 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 5 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.