ATI LPN
NCLEX Questions Integumentary System Questions
Question 1 of 5
A young female who has a 2-year-old and a new baby has just lost all vision in one eye following a vehicle trauma. The client asks what she will do, since she has no help when she goes home. The nurse would choose which nursing diagnosis when planning care?
Correct Answer: A
Rationale: The client's vision loss leads to actual and anticipatory grieving, interrupted family processes due to altered parenting roles, and low self-esteem from functional impairment. Post-trauma syndrome and risk for injury are potential but not currently prioritized.
Question 2 of 5
A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size of a nickel, flat, and darker in color than the client's skin. How should the nurse document these lesions?
Correct Answer: A
Rationale: Patches are larger flat areas of the skin. The information provided does not indicate a mole or the presence of erythema.
Question 3 of 5
A nurse assesses a client who has a chronic wound. The client states, 'I do not clean the wound and change the dressing every day because it costs too much for supplies.' How should the nurse respond?
Correct Answer: A
Rationale: For chronic wounds in the home, clean tap water and nonsterile supplies are acceptable and cheaper alternatives.
Question 4 of 5
A nurse cares for a client who has facial burns. The client asks, 'Will I ever look the same?' How should the nurse respond?
Correct Answer: C
Rationale: The nurse should provide accurate information that cosmetic surgery can help but not restore the exact preburn appearance.
Question 5 of 5
A nurse plans care for a client with burn injuries. Which intervention should the nurse include to ensure adequate nutrition?
Correct Answer: D
Rationale: Collaboration with a dietitian ensures a tailored high-calorie, high-protein diet.