ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The intensive care unit (ICU) burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority?
Correct Answer: A
Rationale: Infection is the priority due to the extensive loss of skin barrier, increasing susceptibility to pathogens in severe burns.
Question 2 of 5
The client is complaining of burning, lancinating, stabbing pain that radiates around the left rib cage area. The nurse cannot find any type of skin abnormality. Which action should the nurse implement?
Correct Answer: D
Rationale: The pain description suggests herpes zoster (shingles), linked to prior chickenpox, warranting this question first.
Question 3 of 5
The elderly client diagnosed with poison ivy is prescribed a solumedrol (a steroid) dose pack. Which intervention should the nurse teach the client?
Correct Answer: B
Rationale: Adherence to the prescribed steroid taper is crucial for efficacy and to avoid adrenal suppression.
Question 4 of 5
A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response?
Correct Answer: C
Rationale: Washing off the urushiol oil from poison ivy prevents the rash from developing.
Question 5 of 5
What explains the incidence of a ruptured disk in elderly clients?
Correct Answer: D
Rationale: Disk degeneration is common with aging and contributes to the increased incidence of ruptured disks in the elderly.