ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump?
Correct Answer: D
Rationale: An insulin pump provides a small continuous dose of short-duration (rapid- or short-acting) insulin subcutaneously throughout the day and night. The client can self-administer an additional bolus dose from the pump before each meal as needed. Short-duration insulin is used in an insulin pump. An external pump is not attached surgically to the pancreas.
Question 2 of 5
The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed as a:
Correct Answer: B
Rationale: Stage 2 pressure injuries appear as a shallow open injury, usually shiny or dry, with a red-pink wound bed without slough.
Question 3 of 5
Which of the following is a nursing intervention for the treatment of head lice and scabies?
Correct Answer: A
Rationale: Identify involved contacts while stressing importance of preventing transmission of disease. Washable and clothing items should be cleaned in hot water to prevent reinfection. No special diet or isolation is required once medical management is completed. This question was restructured from a multiple-response format.
Question 4 of 5
The nurse is caring for a burn patient. Which action best prevents contractures?
Correct Answer: A
Rationale: While each of these interventions is important for management of the patient with burns, only ambulation works to prevent contractures. Other interventions address pain management, adequate hydration, and adequate nutritional intake.
Question 5 of 5
A client sustains a burn injury to the entire right arm, entire right leg, and anterior thorax. According to the rule of nine's the nurse determines that what body percent was injured?
Correct Answer: B
Rationale: Per the Rule of Nines: right arm = 9%, right leg = 18%, anterior thorax = 18%. Total = 9 + 18 + 18 = 45%.