ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The client had an allergic reaction to poison oak two (2) weeks ago. He has returned to the clinic with severe itching and weeping vesicles on the arms and legs. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Temperature elevation could indicate a secondary infection, a common complication needing prompt assessment.
Question 2 of 5
Which intervention should the nurse implement post-laminectomy?
Correct Answer: B
Rationale: Assessing for difficulty speaking or breathing is crucial as laminectomy can affect structures impacting these functions.
Question 3 of 5
Which diagnostic test is most accurate for diagnosing osteoporosis?
Correct Answer: C
Rationale: DEXA accurately measures bone density, diagnosing osteoporosis.
Question 4 of 5
What problem is most appropriate for the nurse to identify for a client with a closed fracture of the right arm?
Correct Answer: D
Rationale: Compromised neurovascular status poses significant risks requiring vigilant monitoring.
Question 5 of 5
The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report?
Correct Answer: B
Rationale: Confusion in a post-TKR patient may indicate delirium or hypoxia, requiring urgent assessment.