ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
A pregnant client reports to the clinic and learns she has tested positive for herpes simplex. The nurse develops a plan of care. Which of the following nursing diagnoses has the highest priority?
Correct Answer: A
Rationale: The greatest risk is complications from herpes simplex (e.g., neonatal transmission), making 'Injury, Risk for' the top priority.
Question 2 of 5
Based on the data of a 78-year-old male with a chronic leg wound prescribed warfarin and VAC treatment, which action should the nurse take first?
Correct Answer: B
Rationale: A client on anticoagulants is not a candidate for VAC due to bleeding risks; the provider needs this information quickly.
Question 3 of 5
A nurse cares for a client with burn injuries. Which intervention should the nurse implement to appropriately reduce the client's pain?
Correct Answer: A
Rationale: IV morphine is appropriate for pain management in burn injuries due to absorption issues.
Question 4 of 5
When performing a skin assessment, the nurse notes several angiomas on the chest of an older patient. Which action should the nurse take next?
Correct Answer: A
Rationale: Angiomas are a common occurrence as patients get older, but they may occur with systemic problems such as liver disease. The patient may want to see a dermatologist to have the angiomas removed, but this is not the initial action by the nurse. The nurse may need to teach the patient about the effects of aging on the skin and about the effects of sun exposure, but the initial action should be further assessment.
Question 5 of 5
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's best action?
Correct Answer: D
Rationale: The presence of acanthosis nigricans in skinfolds suggests either having type 2 diabetes or being at an increased risk for it. The description of the patient's skin does not indicate problems with fungal infection, poor hygiene, or the need to dry the skinfolds better.