ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
Which menu choice by a patient with osteoporosis indicates the nurse’s teaching about appropriate diet has been effective?
Correct Answer: D
Rationale: The correct answer is D because it includes foods rich in calcium and vitamin D, essential for bone health in osteoporosis. Oatmeal provides fiber, while skim milk and fruit yogurt offer calcium and protein. Egg whites lack the vitamin D found in dairy products, and grapefruit may interact with certain medications. Pancakes with syrup and bacon are high in saturated fats and sugars, not beneficial for bone health. Whole wheat toast and fresh fruit are nutritious but lack the calcium and vitamin D needed for osteoporosis management.
Question 2 of 5
A teenager reports ugly warts that have invaded her hands. She wants them gone before prom season. The nurse will likely be explaining which of the following treatment measures to this teenager?
Correct Answer: B
Rationale: The correct answer is B: Applying a keratolytic agent like salicylic acid. Salicylic acid is an effective treatment for warts as it helps remove the outer layer of the skin, allowing the wart to gradually diminish. Steroid creams (choice A) are not typically used for warts. Pulling the wart off with tweezers (choice C) can be painful and may lead to infection. Cryotherapy (choice D) should be done by a healthcare professional as it involves freezing the wart with liquid nitrogen. Salicylic acid is a safe and effective over-the-counter treatment for warts, making it the best choice for the teenager seeking a quick resolution before prom season.
Question 3 of 5
A thermal burn described as involving the entire epidermis and dermis is classified as:
Correct Answer: D
Rationale: The correct answer is D: Full-thickness second degree. This classification indicates a burn that extends through the entire epidermis and dermis. The term "full-thickness" implies involvement of both layers. Choice A (full third degree) is incorrect as it implies deeper tissue involvement beyond the dermis. Choice B (deep first degree) is incorrect as it suggests involvement of only the epidermis and deeper layers. Choice C (partial second degree) is incorrect because it implies involvement of only part of the dermis, not the entire thickness. Therefore, the most accurate classification for a burn involving the entire epidermis and dermis is full-thickness second degree.
Question 4 of 5
A woman has just delivered a child with a hemangioma on his right cheek area. The mother clutches the nurse and asks, “What is that thing on his face?” The nurse will respond with which of the following facts? Select all that apply.
Correct Answer: A
Rationale: Rationale: 1. Hemangiomas are commonly referred to as "strawberry birthmarks" due to their red, raised appearance. 2. They are common in newborns and usually appear within the first few weeks of life. 3. Hemangiomas typically grow in size initially, then gradually shrink over time without any treatment. 4. Most hemangiomas do not cause any health issues and are not cancerous. 5. Therefore, choice A is correct as it accurately explains the nature and commonality of hemangiomas in newborns. Other choices are incorrect as they do not align with the typical characteristics and outcomes of hemangiomas, such as rapid growth followed by regression, permanence, or the need for close monitoring in case of ulceration.
Question 5 of 5
The nurse notes a reddened area on the right heel that does not turn lighter in color when pressed with a finger. Which term will the nurse use to describe this area?
Correct Answer: D
Rationale: The nurse identifies 'nonblanchable erythema' for a reddened right heel that doesn't lighten under pressure, indicating early tissue damage, per Potter's *Essentials* (9th Ed.). This Stage 1 pressure injury sign e.g., persistent redness over 30 minutes shows capillary occlusion, unlike 'reactive hyperemia' , which blanches e.g., fades in seconds from temporary blood rush. 'Secondary erythema' isn't a term e.g., no such condition exists in wound care. 'Blanchable hyperemia' lightens e.g., normal response to pressure relief. A nurse pressing e.g., no color shift notes nonblanchable's risk (e.g., 50% progress to ulcers), per NPUAP, needing intervention (e.g., offloading). Unlike reactive's fleeting flush or blanchable's safety, nonblanchable signals deep ischemia, a key assessment in physiological integrity, making the precise, correct term.