ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The client arrives at the emergency department and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?
Correct Answer: A
Rationale: Frostbite causes vasoconstriction and tissue freezing, leading to a white, numb appearance due to lack of blood flow and sensation.
Question 2 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 3 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 4 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.
Question 5 of 5
The client diagnosed with acute herpes zoster is prescribed oral acyclovir. Which statement by the client indicates the client needs more medication teaching?
Correct Answer: A
Rationale: Acyclovir shortens symptoms but doesn't cure herpes zoster, indicating a need for more teaching. Five times daily, 7-10 days, and eye involvement awareness are correct.