ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's best action?
Correct Answer: D
Rationale: The presence of acanthosis nigricans in skinfolds suggests either having type 2 diabetes or being at an increased risk for it. The description of the patient's skin does not indicate problems with fungal infection, poor hygiene, or the need to dry the skinfolds better.
Question 2 of 5
Which client physiological outcome (goal) is appropriate for a client diagnosed with skin cancer who has had surgery to remove the lesion?
Correct Answer: D
Rationale: Demonstrating operative site care is a measurable physiological outcome post-surgery.
Question 3 of 5
The nurse is admitting an 88-year-old client diagnosed with a viral skin infection. Which nursing task could the nurse delegate to the unlicensed assistive personnel?
Correct Answer: A
Rationale: Measuring and documenting skin lesions is within the scope of unlicensed assistive personnel, unlike applying medication or assessing legal documents.
Question 4 of 5
The client is complaining of severe itching following a course of antibiotics. Which independent nursing action should the nurse implement?
Correct Answer: D
Rationale: Colloidal oatmeal baths are an effective independent nursing intervention to soothe itching.
Question 5 of 5
A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the client's hand?
Correct Answer: D
Rationale: Frostbite causes white, numb skin due to vasoconstriction and tissue freezing.