ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The client sustained a hot grease burn to the right hand and calls the emergency room for advice. Which information should the nurse provide to the client?
Correct Answer: B
Rationale: Cool water reduces heat and pain without damaging tissue, unlike ice or rupturing blisters, which can worsen the injury.
Question 2 of 5
The client with viral skin lesions is experiencing pruritus. Which statement would be an appropriate long-term goal?
Correct Answer: B
Rationale: Maintaining intact skin integrity is a key long-term goal for managing pruritus and preventing complications like infections.
Question 3 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 4 of 5
When assessing a lesion diagnosed as basal cell carcinoma, the nurse most likely expects to note which finding?
Correct Answer: D
Rationale: Basal cell carcinoma typically appears as a pearly papule with a central crater.
Question 5 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.