ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 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 2 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.
Question 3 of 5
Which type of capillary hemangioma is described by the following: isolated 'spiders' are present in normal people, but they are more common during pregnancy and in chronic liver disease. They comprise a central arteriole from which radiate capillaries. Pressure on the central arteriole with a pinhead causes the lesion to disappear while pressure is maintained
Correct Answer: D
Rationale: Spider nevi are characterized by a central arteriole with radiating capillaries and are more common in pregnancy and chronic liver disease.
Question 4 of 5
Common sites for psoriasis include:
Correct Answer: C
Rationale: Psoriasis commonly affects the elbows, knees, and scalp.
Question 5 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.