ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
Based on the data of a 78-year-old male with a chronic leg wound prescribed warfarin and VAC treatment, which action should the nurse take first?
Correct Answer: B
Rationale: A client on anticoagulants is not a candidate for VAC due to bleeding risks; the provider needs this information quickly.
Question 2 of 5
When performing a skin assessment, the nurse notes several angiomas on the chest of an older patient. Which action should the nurse take next?
Correct Answer: A
Rationale: Angiomas are a common occurrence as patients get older, but they may occur with systemic problems such as liver disease. The patient may want to see a dermatologist to have the angiomas removed, but this is not the initial action by the nurse. The nurse may need to teach the patient about the effects of aging on the skin and about the effects of sun exposure, but the initial action should be further assessment.
Question 3 of 5
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's best action?
Correct Answer: D
Rationale: The presence of acanthosis nigricans in skinfolds suggests either having type 2 diabetes or being at an increased risk for it. The description of the patient's skin does not indicate problems with fungal infection, poor hygiene, or the need to dry the skinfolds better.
Question 4 of 5
The client is being discharged after being in the burn unit for six (6) weeks. Which strategies should the nurse identify to promote the client's mental health?
Correct Answer: C
Rationale: Acknowledging that lifestyle changes take time supports mental health by setting realistic expectations during recovery.
Question 5 of 5
Which client physiological outcome (goal) is appropriate for a client diagnosed with skin cancer who has had surgery to remove the lesion?
Correct Answer: D
Rationale: Demonstrating operative site care is a measurable physiological outcome post-surgery.