ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
When assessing a lesion diagnosed as malignant melanoma, the nurse most likely expects to note which of the following?
Correct Answer: C
Rationale: Malignant melanoma typically presents with asymmetry, irregular borders, and varying colors, distinguishing it from benign lesions.
Question 2 of 5
A nurse assesses a pressure ulcer on a child and finds full-thickness loss of the dermal layer and visible subcutaneous fat. At which stage does the nurse document this pressure ulcer to be?
Correct Answer: C
Rationale: A stage III pressure ulcer involves the full thickness of the dermis, possible visible subcutaneous fat, possible sloughing, and possible tunneling.
Question 3 of 5
Which data indicates the fluid resuscitation is effective for a client who experienced an electrical burn resulting in full-thickness burns to the right and left hand?
Correct Answer: C
Rationale: For an electrical burn, a urine output of 75 to 100 mL/hour indicates effective fluid resuscitation due to the need to flush myoglobin from muscle damage. Less than 30 mL/hour suggests inadequate resuscitation, 50 mL/hour is sufficient for thermal burns but not electrical, and over 200 mL/hour indicates excessive fluid loss.
Question 4 of 5
Which medication or treatment should the nurse discuss with a teenage client diagnosed with mild acne?
Correct Answer: D
Rationale: Benzoyl peroxide suppresses P. acnes and promotes peeling for mild acne. Botox is for wrinkles, vitamin E worsens oiliness, and isotretinoin is for severe acne.
Question 5 of 5
The parents of a 2-year-old child diagnosed with measles call the pediatric clinic about the child being uncomfortable, irritable, and fretful. Which recommendation should the nurse discuss?
Correct Answer: C
Rationale: Acetaminophen reduces discomfort in measles. Aspirin risks Reye's syndrome, diphenhydramine cream isn't suitable, and denying medication ignores symptom relief options.