ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
Which client wound is paired with the appropriate treatment?
Correct Answer: A
Rationale: Whirlpool treatment can gently remove necrosis from a heel ulcer, making it an appropriate pairing.
Question 2 of 5
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
Correct Answer: C
Rationale: An incisional biopsy would remove the entire mole and the tissue borders. The appearance of the mole indicates that it may be malignant. A shave biopsy would not remove the entire mole. The mole is too large to be removed with punch biopsy. Excisional biopsies are done for smaller lesions and where a good cosmetic effect is desired, such as on the face.
Question 3 of 5
When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. What is the nurse's best action?
Correct Answer: C
Rationale: The patient has clinical manifestations that could be caused by systemic problems such as malnutrition or hypothyroidism, so further diagnostic evaluation is indicated. Patient teaching about nutrition, addressing the patient's dry skin, and referral to a podiatrist may also be needed, but the priority is to rule out underlying disease that may be causing these manifestations.
Question 4 of 5
The nurse in a long-term care facility is teaching a group of new unlicensed assistive personnel. Which information regarding skin care should the nurse emphasize?
Correct Answer: C
Rationale: Turning immobile clients every 2 hours prevents pressure ulcers by relieving pressure on vulnerable areas.
Question 5 of 5
The male client diagnosed with acquired immunodeficiency syndrome (AIDS) states that he has developed a purple-brown spot on his calf. Which action should the nurse do first?
Correct Answer: B
Rationale: Assessing the lesion first provides data to determine if it could be Kaposi's sarcoma, common in AIDS.