ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a dark-skinned African American patient. Which site should the nurse use to evaluate for the presence or absence of cyanosis?
Correct Answer: B
Rationale: Nail beds show cyanosis as a bluish cast, reliable in dark skin where skin tone may mask changes.
Question 2 of 5
The nurse notes that a male patient is bald. What is the status of the hair follicles on the head of this patient?
Correct Answer: B
Rationale: Baldness occurs when hair follicles enter a prolonged resting phase and do not progress to the growth phase.
Question 3 of 5
A patient is to undergo a punch biopsy of a lesion. What should the nurse anticipate when assisting in the collection of this specimen?
Correct Answer: C
Rationale: Local anesthesia is typically administered before a punch biopsy to minimize discomfort.
Question 4 of 5
A patient has a leg wound that has beige exudate and a fishy odor. For which microorganism should the nurse plan care for this patient?
Correct Answer: A
Rationale: Proteus infections are known for producing a fishy odor and beige exudate due to their urease-producing nature, distinguishing them from other listed microorganisms.
Question 5 of 5
The nurse is concerned that a patient is developing a complicated soft tissue bacterial infection. Which assessment finding is most indicative of this condition?
Correct Answer: D
Rationale: Low blood pressure suggests systemic involvement (e.g., sepsis) in a complicated infection, beyond localized symptoms like pain or fever.