ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The client who lives alone indicates concerns about their ability to perform the necessary dressing changes after discharge. Which action by the nurse is indicated at this time?
Correct Answer: D
Rationale: The client will likely need home health care, which requires a physician's order. The nurse should initiate the referral process by discussing with the physician. The client has indicated a lack of assistance, so relying on friends or neighbors is not viable.
Question 2 of 5
A male client reports to the clinic with an open area on his penis. Which of the following questions will be most important to include in the data collection?
Correct Answer: D
Rationale: Recording the onset of the open area is crucial for diagnosis. Other questions are less informative or judgmental.
Question 3 of 5
A pregnant client reports to the clinic and learns she has tested positive for herpes simplex. The nurse develops a plan of care. Which of the following nursing diagnoses has the highest priority?
Correct Answer: A
Rationale: The greatest risk is complications from herpes simplex (e.g., neonatal transmission), making 'Injury, Risk for' the top priority.
Question 4 of 5
A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client's education?
Correct Answer: D
Rationale: The client should apply lotion immediately after bathing to retain moisture in the skin, which is more effective than other methods listed.
Question 5 of 5
Based on the data of a 78-year-old male with a chronic leg wound prescribed warfarin and VAC treatment, which action should the nurse take first?
Correct Answer: B
Rationale: A client on anticoagulants is not a candidate for VAC due to bleeding risks; the provider needs this information quickly.