ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
If a 35 year old female has a thigh measurement of 34 mm, iliac crest of 12 mm, and triceps of 25 mm, what is her percent body fat?
Correct Answer: B
Rationale: Using the Jackson-Pollock 3-site formula for women: sum = 71 mm, body fat ≈ 25% (exact calculation varies by chart, but 25% is typical).
Question 2 of 5
Nurse Harry documents the presence of a scab on a client's deep wound. The nurse identifies this as which phase of wound healing?
Correct Answer: B
Rationale: The migratory phase involves epithelial cell migration and scab formation as the wound begins to close.
Question 3 of 5
Nurse Luis is caring for a client who has just had a squamous cell carcinoma removed from the face. Which activities can you delegate to an experienced nursing LPN/LVN?
Correct Answer: A
Rationale: Monitoring the surgical site is within the LPN/LVN scope, focusing on observation and reporting changes.
Question 4 of 5
A school-age child has been prescribed magic mouthwash for gingival herpes simplex type I(HSV-1) infection. The parent asks how this helps the childs condition. Which response by the nurse is the most appropriate?
Correct Answer: A
Rationale: Magic mouthwash has several recipes, but common ingredients include Benadryl, lidocaine, and Mylanta, which all help increase comfort so the child continues to eat and drink.
Question 5 of 5
A nurse is caring for four patients on a general pediatric unit. The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four. Which patients skin should the nurse assess first?
Correct Answer: D
Rationale: Immobility is a major risk factor for impaired skin integrity. The nurse should first assess the child in traction, as this child is the least mobile.