ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?
Correct Answer: C
Rationale: A layer in the epidermis contains highly specialized cells called melanocytes.
Question 2 of 5
The nurse describes several types of burn treatment. Which statement best describes an escharotomy?
Correct Answer: A
Rationale: An escharotomy is an incision to relieve pressure and improve circulation in constricted burn areas.
Question 3 of 5
A nurse is reviewing the nursing care plan for a client for whom a stage 4 decubiti ulcer has been documented. Which of the following would the nurse expect to note on assessment of the client?
Correct Answer: D
Rationale: Stage 4 pressure ulcers involve full-thickness tissue loss extending into muscle, bone, or supporting structures.
Question 4 of 5
The client with acquired immunodeficiency syndrome (AIDS) is suspected of having cutaneous Kaposi's sarcoma. The nurse prepares the client for which test that will confirm the presence of this type of sarcoma?
Correct Answer: C
Rationale: A punch biopsy of the lesion confirms Kaposi's sarcoma by histologically identifying spindle cells and vascular structures.
Question 5 of 5
The nurse is preparing to send a culture for a patient who has a possible herpes zoster infection on the chest. Which action is appropriate?
Correct Answer: A
Rationale: For lesions with vesicles or bullae, the lesion should be opened using sterile technique and a specimen obtained from the center of the lesion. Aspiration of bullae would present a risk of injury to the patient. Swabbing the area would be likely to result in obtaining normal skin flora rather than the infectious agent. Anaerobic cultures would be unnecessary for an infection on the skin of the chest and would unnecessarily increase the cost of the culture.