ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
An occupational health nurse is screening a new employee in a long-term care facility for tuberculosis (TB). The employee questions why purified protein derivative (PPD) testing is done twice. Which is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because there is an increased risk of false-negative responses in individuals who work in long-term care facilities due to frequent exposure to TB. Conducting two PPD tests allows for a more accurate screening as the initial exposure may not trigger an immediate immune response detectable by the first test. By performing the second test, any delayed immune response can be captured, reducing the likelihood of missing an active TB infection. Option A is incorrect because the same PPD is used for both tests. Option B is incorrect as the rationale for repeating the PPD is not solely to verify the accuracy of the first test but to account for potential delayed immune responses. Option C is incorrect as the time frame for interpreting the PPD is standard and not the reason for performing two tests.
Question 2 of 5
During assessment of the patient’s skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?
Correct Answer: B
Rationale: The correct term to document the distribution of lesions on the left and right upper back areas is "Symmetric" (Choice B). This term indicates that the lesions are evenly distributed on both sides of the body, mirroring each other in a balanced pattern. "Confluent" (Choice A) refers to lesions merging together, "Zosteriform" (Choice C) relates to lesions following a dermatomal pattern, and "Generalized" (Choice D) indicates widespread distribution across the body. In this case, the lesions appearing on both sides of the upper back in a similar pattern suggest symmetry, making "Symmetric" the most appropriate term.
Question 3 of 5
The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A: Clean the infected areas with soap and water. This is because impetigo is a bacterial skin infection that requires good hygiene to prevent spreading. Cleaning the infected areas with soap and water helps to remove bacteria and crusty discharge. Choice B is incorrect because alcohol-based cleansers can be too harsh and irritating to the skin, further aggravating the lesions. Choice C is also incorrect as antibiotic ointments are commonly used to treat impetigo by killing the bacteria causing the infection. Choice D is incorrect because using petroleum jelly may trap bacteria and moisture, worsening the infection. It is important to keep the affected areas clean and dry to promote healing.
Question 4 of 5
The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
Correct Answer: C
Rationale: The correct answer is C because using bacitracin-neomycin-polymyxin on minor abrasions can actually worsen contact dermatitis due to the risk of allergic reactions and delayed wound healing. The other choices are appropriate for managing contact dermatitis symptoms: A) corticosteroid cream helps reduce inflammation and itching, B) oilated oatmeal can soothe and moisturize the skin, and D) diphenhydramine can provide relief from itching. Overall, choice C is incorrect as it can exacerbate the condition, making it crucial for patient teaching to avoid such products for minor abrasions in the setting of contact dermatitis.
Question 5 of 5
There is one opening in the schedule at the dermatology clinic, and four patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
Correct Answer: B
Rationale: The correct answer is B (38-year-old with a 7-mm nevus on the face that has recently become darker) because changes in the color, shape, or size of a mole could indicate melanoma, a type of skin cancer. This patient's symptoms require immediate evaluation. Choice A (50-year-old with skin redness after a chemical peel) is likely post-inflammatory erythema, which is a common side effect and not an urgent issue. Choice C (62-year-old with papules in axillary areas) is likely skin tags, which are benign and not urgent. Choice D (42-year-old with itching after using topical fluorouracil) is a common side effect and can usually wait for a regular appointment.