ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?
Correct Answer: A
Rationale: Thinning of the skin indicates that atrophy, a possible adverse effect of topical corticosteroids, is occurring. The health care provider should be notified so that the medication can be changed or tapered. Alopecia, red-brown discoloration, and dryness/scaling of the skin are not adverse effects of topical corticosteroid use.
Question 2 of 5
Which client is at the greatest risk for the development of skin cancer?
Correct Answer: D
Rationale: Fair complexion and inability to tan increase UV damage risk, the primary factor in skin cancer.
Question 3 of 5
The client is complaining of burning, lancinating, stabbing pain that radiates around the left rib cage area. The nurse cannot find any type of skin abnormality. Which action should the nurse implement?
Correct Answer: D
Rationale: The pain description suggests herpes zoster (shingles), linked to prior chickenpox, warranting this question first.
Question 4 of 5
The elderly client diagnosed with poison ivy is prescribed a solumedrol (a steroid) dose pack. Which intervention should the nurse teach the client?
Correct Answer: B
Rationale: Adherence to the prescribed steroid taper is crucial for efficacy and to avoid adrenal suppression.
Question 5 of 5
A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response?
Correct Answer: C
Rationale: Washing off the urushiol oil from poison ivy prevents the rash from developing.