ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 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.
Question 2 of 5
A female client with second- and third-degree burns on the arms receives autografts. Two days later, the nurse finds the client doing arm exercises. The nurse knows that this client should avoid exercise because it may:
Correct Answer: A
Rationale: Early exercise can dislodge autografts before they fully adhere, compromising graft success.
Question 3 of 5
Nurse Mary is caring for a wheelchair-bound client. Which piece of equipment impedes circulation to the area it is meant to protect?
Correct Answer: A
Rationale: Ring or donut cushions can increase pressure around the edges, impeding circulation and worsening skin breakdown.
Question 4 of 5
The client arrives at the emergency department and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?
Correct Answer: A
Rationale: Frostbite causes vasoconstriction and tissue freezing, leading to a white, numb appearance due to lack of blood flow and sensation.
Question 5 of 5
A toddler has a few vesicular lesions on his hands that rupture, producing a honey-colored, sticky exudate. Based on this assessment, which medication does the nurse teach the parents about?
Correct Answer: D
Rationale: This child has impetigo, which is treated in one of two ways. For limited lesions(which this child has), topical Bactroban is appropriate.