ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 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 2 of 5
The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?
Correct Answer: C
Rationale: Fungal cultures are obtained by swabbing the affected area of the skin with cotton-tipped applicators. Sterile gloves are not needed because it is not a sterile procedure. Local injection is not needed because the swabbing is not usually painful. The patch test is done to determine whether a patient is allergic to specific testing material, not for obtaining fungal specimens.
Question 3 of 5
The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
Correct Answer: B
Rationale: Neosporin can cause contact dermatitis. The other medications are being used appropriately by the patient.
Question 4 of 5
The client sustained a hot grease burn to the right hand and calls the emergency room for advice. Which information should the nurse provide to the client?
Correct Answer: B
Rationale: Cool water reduces heat and pain without damaging tissue, unlike ice or rupturing blisters, which can worsen the injury.
Question 5 of 5
The client has had a squamous cell carcinoma removed from the lip. Which discharge instruction should the nurse provide?
Correct Answer: A
Rationale: A nonhealing lesion could indicate recurrence, requiring prompt reporting.