ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse describes several types of burn treatment. Which statement best describes an escharotomy?
Correct Answer: A
Rationale: An escharotomy is an incision to relieve pressure and improve circulation in constricted burn areas.
Question 2 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 3 of 5
The nurse is preparing to send a culture for a patient who has a possible herpes zoster infection on the chest. Which action is appropriate?
Correct Answer: A
Rationale: For lesions with vesicles or bullae, the lesion should be opened using sterile technique and a specimen obtained from the center of the lesion. Aspiration of bullae would present a risk of injury to the patient. Swabbing the area would be likely to result in obtaining normal skin flora rather than the infectious agent. Anaerobic cultures would be unnecessary for an infection on the skin of the chest and would unnecessarily increase the cost of the culture.
Question 4 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 5 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.