ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The client has been applying a topical hydrocortisone cream to dry, rough skin for more than 2 years. Which data should the nurse assess in the client?
Correct Answer: C
Rationale: Prolonged topical steroid use causes skin atrophy (thinning, striae, purpura). Systemic effects like adrenal insufficiency or Cushing's features (buffalo hump, moon face) are unlikely, and glucose isn't directly affected.
Question 2 of 5
There is no cure for eczema so treatment aims to:
Correct Answer: B
Rationale: The main goal of eczema treatment is to control or ease symptoms since there is no cure.
Question 3 of 5
The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse see initially?
Correct Answer: A
Rationale: The nurse must decide which client should be seen on the initial rounds of the day. The nurse must remember that the first client to be seen should be the client who needs the attention of the nurse initially. A client with hepatitis A does experience diarrhea, but diarrhea for the last 24 hours could cause the client to have a problem with dehydration and experience a state of fluid volume deficit.
Question 4 of 5
A nursing student is reading about the concept of parish nursing. Which of the following statements indicates understanding of the key concepts of parish nursing?
Correct Answer: D
Rationale: Parish nursing seeks to provide health care to traditionally underserved populations. Involvement in parish nursing is not limited to select faiths. The parish nurse may work directly for the church or be contracted by the church to provide nursing services and perform referrals. It is not limited to nurse practitioners.
Question 5 of 5
A client has reported to the physician's office with complaints of an inability to sleep at night. During the data collection, the client reports her estranged husband died a little over a year ago. She states 'I am not sure why this is so difficult, I really couldn't stand him near the end.' Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Unresolved conflict at the time of death can impact the ability to grieve successfully. The client's demeanor does not seem angry, and referrals to a therapist require a physician's initiation.