ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
After suffering a massive cerebral hemorrhage, a client of American Indian descent is not expected to survive. The family arrives at the hospital. In conversation with the family, they report they observe most of their religious and cultural traditions. Which of the following interventions by the nursing staff would be most appropriate?
Correct Answer: A
Rationale: Traditional American Indians prefer to mourn in private, often away from the dying client. Offering a private room respects this cultural practice.
Question 2 of 5
A client treated for pelvic inflammatory disease is preparing for discharge. During the teaching session, the use of tampons is discussed. Which of the following statements by the client indicate the understanding of the content provided?
Correct Answer: A
Rationale: Tampons are allowed but must be changed regularly (every 4 hours), and pads at night prevent prolonged use, reducing infection risk.
Question 3 of 5
A nurse teaches a client to perform total skin self-examinations on a monthly basis. Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: Clients should be taught to examine each lesion following the ABCDE features associated with skin cancer, including asymmetry of shape and border irregularity.
Question 4 of 5
Based on the data of a 66-year-old male with a sacral ulcer and low prealbumin, which action should the nurse take?
Correct Answer: B
Rationale: The low prealbumin count indicates poor nutritional status, putting the client at risk for inadequate wound healing, necessitating a dietary consult.
Question 5 of 5
A nurse administers topical gentamicin sulfate (Garamycin) to a client's burn injury. Which laboratory value should the nurse monitor while the client is prescribed this therapy?
Correct Answer: A
Rationale: Gentamicin is nephrotoxic; creatinine levels monitor kidney function.