ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is preparing to administer influenza vaccines to a mass drive-through clinic. Which statement by a client would indicate further questioning prior to giving the client the influenza vaccine?
Correct Answer: C
Rationale: Influenza vaccines are recommended for persons at high risk for serious sequelae of influenza. The nurse should be aware that a client with a sensitivity to eggs should not receive the vaccine. Vaccines prepared from chicken or duck embryos are contraindicated in clients who are allergic to eggs.
Question 2 of 5
After suffering a massive cerebral hemorrhage, a client of American Indian descent is not expected to survive. The family arrives at the hospital. In conversation with the family, they report they observe most of their religious and cultural traditions. Which of the following interventions by the nursing staff would be most appropriate?
Correct Answer: A
Rationale: Traditional American Indians prefer to mourn in private, often away from the dying client. Offering a private room respects this cultural practice.
Question 3 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 4 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 5 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.