ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A teenager reports ugly warts that have invaded her hands. She wants them gone before prom season. The nurse will likely be explaining which of the following treatment measures to this teenager?
Correct Answer: B
Rationale: The correct answer is B: Applying a keratolytic agent like salicylic acid. Salicylic acid is an effective treatment for warts as it helps remove the outer layer of the skin, allowing the wart to gradually diminish. Steroid creams (choice A) are not typically used for warts. Pulling the wart off with tweezers (choice C) can be painful and may lead to infection. Cryotherapy (choice D) should be done by a healthcare professional as it involves freezing the wart with liquid nitrogen. Salicylic acid is a safe and effective over-the-counter treatment for warts, making it the best choice for the teenager seeking a quick resolution before prom season.
Question 2 of 5
A woman has just delivered a child with a hemangioma on his right cheek area. The mother clutches the nurse and asks, “What is that thing on his face?” The nurse will respond with which of the following facts? Select all that apply.
Correct Answer: A
Rationale: Rationale: 1. Hemangiomas are commonly referred to as "strawberry birthmarks" due to their red, raised appearance. 2. They are common in newborns and usually appear within the first few weeks of life. 3. Hemangiomas typically grow in size initially, then gradually shrink over time without any treatment. 4. Most hemangiomas do not cause any health issues and are not cancerous. 5. Therefore, choice A is correct as it accurately explains the nature and commonality of hemangiomas in newborns. Other choices are incorrect as they do not align with the typical characteristics and outcomes of hemangiomas, such as rapid growth followed by regression, permanence, or the need for close monitoring in case of ulceration.
Question 3 of 5
The nurse notes a reddened area on the right heel that does not turn lighter in color when pressed with a finger. Which term will the nurse use to describe this area?
Correct Answer: D
Rationale: The nurse identifies 'nonblanchable erythema' for a reddened right heel that doesn't lighten under pressure, indicating early tissue damage, per Potter's *Essentials* (9th Ed.). This Stage 1 pressure injury sign e.g., persistent redness over 30 minutes shows capillary occlusion, unlike 'reactive hyperemia' , which blanches e.g., fades in seconds from temporary blood rush. 'Secondary erythema' isn't a term e.g., no such condition exists in wound care. 'Blanchable hyperemia' lightens e.g., normal response to pressure relief. A nurse pressing e.g., no color shift notes nonblanchable's risk (e.g., 50% progress to ulcers), per NPUAP, needing intervention (e.g., offloading). Unlike reactive's fleeting flush or blanchable's safety, nonblanchable signals deep ischemia, a key assessment in physiological integrity, making the precise, correct term.
Question 4 of 5
The nurse is caring for a patient with a necrotic wound. Which dressing would be the best choice for the nurse to use on this type of wound to help with debridement?
Correct Answer: B
Rationale: For a necrotic wound, 'hydrogel dressing' is best, per Potter's *Essentials*. High water content e.g., 90% softens necrosis e.g., eschar dissolves in 48 hours aiding autolytic debridement, unlike 'transparent film' , for minimal loss e.g., no moisture gift. 'Dry nonstick gauze' suits drainage e.g., not debridement. 'Hydrocolloid' fits Stages 1-3 e.g., seals, not softens. A nurse applies e.g., Hydrogel to black tissue' boosting healing (e.g., 60% faster), per wound care principles. Potter notes hydrogel's moisture action, a physiological integrity tool, making the correct, debriding choice.
Question 5 of 5
Which statement by the patient indicates that additional teaching is needed about the application of an elastic bandage to the ankle?
Correct Answer: D
Rationale: I will wrap the bandage from my shin toward my toes' needs teaching, per Potter's . Correct is toes-to-shin e.g., distal up aids flow unlike shin-down, risking constriction e.g., 20% more swelling. 'Take off if tingling' is right e.g., nerve alert. 'Applied smoothly' prevents e.g., wrinkles cut risk 30%. 'Watch toes' spots e.g., cold signals ischemia. A nurse reteaches e.g., Start at toes' per risk reduction (e.g., 90% do right), a binder precaution. is the correct, wrong statement.