ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
Which condition is described by the following: this is a pigmented tumor of the skin that may easily be confused with a malignant melanoma, with which it has a close macroscopic resemblance. Palpation, however, reveals a typically hard consistency owing to the dense fibrous stroma. It is probably produced as a result of fibrosis of a capillary hemangioma. The pigment is due to iron and not to melanin; this is easily shown with specific histological staining
Correct Answer: D
Rationale: Sclerosing angioma is a pigmented tumor that may resemble melanoma but contains iron pigmentation.
Question 2 of 5
The nurse is caring for four clients on a medical-surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client's abnormalities?
Correct Answer: A
Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000-10,000 mm^3.) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician.
Question 3 of 5
The client who lives alone indicates concerns about their ability to perform the necessary dressing changes after discharge. Which action by the nurse is indicated at this time?
Correct Answer: D
Rationale: The client will likely need home health care, which requires a physician's order. The nurse should initiate the referral process by discussing with the physician. The client has indicated a lack of assistance, so relying on friends or neighbors is not viable.
Question 4 of 5
A competent elderly client has a living will. The living will expressed the desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive. Which of the following actions by the nursing staff is most appropriate?
Correct Answer: C
Rationale: The client is competent, so their wishes take priority. The document should be placed on the chart and the physician notified. Family disagreement does not invalidate the document.
Question 5 of 5
A male client reports to the clinic with an open area on his penis. Which of the following questions will be most important to include in the data collection?
Correct Answer: D
Rationale: Recording the onset of the open area is crucial for diagnosis. Other questions are less informative or judgmental.