ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The mother of a severely handicapped child states she is exhausted and voices the need to 'take a break' to the nurse. What type of referral would best benefit the client?
Correct Answer: A
Rationale: Individuals who are faced with caring for ill or handicapped family members might need a 'break.' The best option would be a respite care provider, which offers short in-home services to free the caregiver temporarily. Hospice care is for dying clients, home health care is for clients unable to leave home, and ambulatory clinics are for limited point-of-care services.
Question 2 of 5
A client is scheduled to undergo a prostate biopsy. When providing education concerning postoperative care related to the procedure, which of the following should be included?
Correct Answer: B
Rationale: The client might experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided for only about 4 hours, not 24, and sexual contacts are irrelevant.
Question 3 of 5
A client treated for pelvic inflammatory disease is preparing for discharge. During the teaching session, the use of tampons is discussed. Which of the following statements by the client indicate the understanding of the content provided?
Correct Answer: A
Rationale: Tampons are allowed but must be changed regularly (every 4 hours), and pads at night prevent prolonged use, reducing infection risk.
Question 4 of 5
A nurse teaches a client to perform total skin self-examinations on a monthly basis. Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: Clients should be taught to examine each lesion following the ABCDE features associated with skin cancer, including asymmetry of shape and border irregularity.
Question 5 of 5
Based on the data of a 66-year-old male with a sacral ulcer and low prealbumin, which action should the nurse take?
Correct Answer: B
Rationale: The low prealbumin count indicates poor nutritional status, putting the client at risk for inadequate wound healing, necessitating a dietary consult.