ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
Nurse Mary is caring for a wheelchair-bound client. Which piece of equipment impedes circulation to the area it is meant to protect?
Correct Answer: A
Rationale: Ring or donut cushions can increase pressure around the edges, impeding circulation and worsening skin breakdown.
Question 2 of 5
A toddler has a few vesicular lesions on his hands that rupture, producing a honey-colored, sticky exudate. Based on this assessment, which medication does the nurse teach the parents about?
Correct Answer: D
Rationale: This child has impetigo, which is treated in one of two ways. For limited lesions(which this child has), topical Bactroban is appropriate.
Question 3 of 5
A child has been in the burn unit for 13 days. Which nursing assessment indicates that a priority goal has been met?
Correct Answer: D
Rationale: Nutrition is an important problem for the child with burns, as the child is hypermetabolic and needs a high-calorie, high-protein diet. Children are generally weighed twice a week in the burn center. A weight gain shows that nutritional needs are being met.
Question 4 of 5
The nurse provides anticipatory guidance to parents telling them the maximum water temperature for bathing children is which temperature?
Correct Answer: C
Rationale: The maximum safe water temperature for bathing children is 120°F (48.9°C) to prevent scald burns. Higher temperatures like 140°F can cause severe burns quickly, especially in young children with sensitive skin.
Question 5 of 5
The client is prescribed methotrexate for a diagnosis of psoriasis. Which data should the nurse monitor?
Correct Answer: C
Rationale: Methotrexate causes hematopoietic depression (leukopenia, thrombocytopenia, anemia), so CBC monitoring is essential. It's not nephrotoxic, so GFR and BUN/creatinine aren't priorities, nor is iron-binding capacity affected.