ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The nurse in a plastic surgeon's office is discharging a client who had onabotulinumtoxin A injections. Which discharge instructions should the nurse provide?
Correct Answer: C
Rationale: Botox effects develop over 3-10 days and last 3-6 months, not permanently. Edema is expected, and side effects can include facial paralysis beyond the injection site.
Question 2 of 5
Which condition is described by the following: this is a pigmented tumor of the skin that may easily be confused with a malignant melanoma, with which it has a close macroscopic resemblance. Palpation, however, reveals a typically hard consistency owing to the dense fibrous stroma. It is probably produced as a result of fibrosis of a capillary hemangioma. The pigment is due to iron and not to melanin; this is easily shown with specific histological staining
Correct Answer: D
Rationale: Sclerosing angioma is a pigmented tumor that may resemble melanoma but contains iron pigmentation.
Question 3 of 5
Most cases of psoriasis first present before the age of:
Correct Answer: C
Rationale: Most cases of psoriasis first present before the age of 15 years.
Question 4 of 5
The nurse is caring for four clients on a medical-surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client's abnormalities?
Correct Answer: A
Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000-10,000 mm^3.) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician.
Question 5 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.