ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The client with acquired immunodeficiency syndrome (AIDS) is suspected of having cutaneous Kaposi's sarcoma. The nurse prepares the client for which test that will confirm the presence of this type of sarcoma?
Correct Answer: C
Rationale: A punch biopsy of the lesion confirms Kaposi's sarcoma by histologically identifying spindle cells and vascular structures.
Question 2 of 5
While assessing a 25-year-old female, the nurse notes that the patient has hair on her lower abdomen. Earlier in the health interview, the patient stated that her menses are irregular. The nurse should suspect what type of health problem?
Correct Answer: C
Rationale: Some women with higher levels of testosterone have hair in areas generally thought of as masculine, such as the face, chest, and lower abdomen, which may indicate a hormonal imbalance when paired with irregular menses.
Question 3 of 5
Tissue damage from burn injury activates an inflammatory response that increases the patient's risk for:
Correct Answer: C
Rationale: The loss of skin as the primary barrier against microorganisms and activation of the inflammatory response cascades results in immunosuppression, placing the patient at an increased risk of infection. A systemic inflammatory response(SIRS) also increases the risk of acute kidney injury in the presence of poor tissue perfusion. Acute respiratory distress syndrome is also a potential complication, but the risk of infection is greater because of the loss of the skin barrier. Catecholamine release and gastrointestinal ischemia are the causes of stress ulcers.
Question 4 of 5
A patient with cancer is experiencing hair loss from chemotherapy treatments. Which term should the nurse use to document this finding?
Correct Answer: A
Rationale: Hair loss is called alopecia. Allopathy is a system of medicine. Ecchymosis is bruising. Keratopenia is not a medical term.
Question 5 of 5
The nurse notes that an older patient is malnourished and has minimal subcutaneous tissue. Which function of the subcutaneous tissue of the skin should the nurse consider as being potentially altered in this patient?
Correct Answer: A
Rationale: Subcutaneous tissue stores energy as fat, which is compromised in malnutrition.