ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
Nurse Chael is performing a skin assessment on a new resident in a long-term care facility. Which finding is of most concern?
Correct Answer: C
Rationale: An irregular-bordered black mole suggests possible melanoma, requiring urgent evaluation due to its malignant potential.
Question 2 of 5
A student is caring for a burned child on the burn unit. The student is performing burn care. Which action by the student requires intervention by the registered nurse?
Correct Answer: A
Rationale: Silver nitrate cannot be used on the face. The other actions are appropriate.
Question 3 of 5
Which question is most important for the nurse to ask the client admitted to the ED diagnosed with a partial- and full-thickness burn to the left leg?
Correct Answer: A
Rationale: A tetanus toxoid is administered early in burn care to prevent Clostridium tetani infection. If the last shot was over 10 years ago or unknown, a booster is needed, making this the most critical question in the ED. Other questions are relevant but not as immediately urgent.
Question 4 of 5
The nurse in a plastic surgeon's office is discharging a client who had onabotulinumtoxin A injections. Which discharge instructions should the nurse provide?
Correct Answer: C
Rationale: Botox effects develop over 3-10 days and last 3-6 months, not permanently. Edema is expected, and side effects can include facial paralysis beyond the injection site.
Question 5 of 5
The client is reporting an inability to sleep because of pruritus secondary to a skin irritation on the lower extremities. Which information should the nurse discuss with the client?
Correct Answer: A
Rationale: Hydroxyzine relieves itching and promotes sleep. Antibacterial ointment doesn't address pruritus, soaking may worsen irritation, and occlusive dressings don't help itching.