ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
Correct Answer: B
Rationale: Pediculosis is characterized by wheal-like lesions with parasites that attach eggs to the base of the hair shaft. The other descriptions are more characteristic of other types of skin disorders.
Question 2 of 5
The female client admitted for an unrelated diagnosis asks the nurse to check her back because 'it itches all the time in that one spot.' When the nurse assesses the client's back, the nurse notes an irregular-shaped lesion with some scabbed-over areas surrounding the lesion. Which action should the nurse implement first?
Correct Answer: B
Rationale: Measuring and documenting the lesion provides objective data for further evaluation, the first step in assessment.
Question 3 of 5
The nurse is teaching a class on how to prevent Lyme disease. Which intervention should be included in the discussion?
Correct Answer: C
Rationale: Avoiding dense undergrowth reduces tick exposure, a primary prevention strategy for Lyme disease.
Question 4 of 5
The nurse has completed the teaching plan for the client diagnosed with psoriasis. Which statement indicates the need for further teaching?
Correct Answer: D
Rationale: Coal-tar products often stain clothing, so this statement shows a misunderstanding requiring further education.
Question 5 of 5
The ED nurse is caring for a client admitted with extensive, deep partial-thickness and full-thickness burns. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Airway status is the first priority in burn care due to the risk of inhalation injury.