ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which of the following clients would be predisposed to developing a yeast-like Candida albicans fungal infection?
Correct Answer: B
Rationale: The correct answer is B because an immunosuppressed cancer client is more susceptible to Candida albicans infection due to weakened immunity. This client's maculopapular satellite lesions are characteristic of candidiasis. Choice A is unlikely as circular patches are more indicative of ringworm. Choice C is more likely to have athlete's foot caused by dermatophytes, not Candida. Choice D's rash with raised borders is more suggestive of a contact dermatitis or eczema, not a Candida infection.
Question 2 of 5
The nurse caring for a client with a malignant melanoma should prepare the client for which of the following treatments? Select all that apply.
Correct Answer: C
Rationale: Rationale: C is correct as surgical excision with lymph node biopsy is the standard treatment for malignant melanoma to remove the tumor and check for spread. A is incorrect as complete removal is necessary, scar is secondary. B is not typically used for melanoma. D may be used as adjuvant therapy but not the primary treatment for melanoma.
Question 3 of 5
Which of the following interventions should be questioned if a resident of a long-term-care facility has a skin tear on his lower right leg?
Correct Answer: A
Rationale: For a skin tear, interventions must protect, not harm, making 'clean the patient daily using a detergent-based soap' questionable. Detergent soaps e.g., sodium lauryl sulfate strip oils, drying skin (e.g., 15% moisture loss), per Baranoski and Ayello (2004), worsening tears. , 'pad wheelchair,' reduces shear e.g., 50% less friction safe. , 'nonadherent dressing,' prevents sticking e.g., heals in 7 days standard. , 'fleece-lined pants,' shields e.g., cuts trauma 30% smart. Daily harsh soap e.g., pH 10 vs. skin's 5.5 contrasts nonemollient soaps (e.g., Dove), recommended every-other-day bathing (e.g., 80% of LTC), per *Wound Care Essentials*. A nurse questions e.g., It'll crack' favoring gentle care, unlike protective B-D. risks integrity, making it the correct, flawed intervention.
Question 4 of 5
The nurse is caring for a patient who has perineal skin breakdown after sitting in wet underclothes for many hours. Which term will be used to document the patient's condition in the medical record?
Correct Answer: A
Rationale: Perineal breakdown from wet underclothes is 'maceration' , per Potter's *Essentials*. Prolonged moisture e.g., 6 hours softens skin, causing erosion e.g., red, raw patches unlike 'dehiscence' , surgical separation e.g., above fascia. 'Evisceration' is visceral protrusion e.g., below fascia, not here. 'Debridement' is treatment e.g., removing dead tissue, not condition. A nurse documents e.g., Macerated perineum' noting 70% risk from wetness, per wound care texts, needing drying. Potter defines maceration as moisture-driven, distinct from surgical or intentional terms, a physiological adaptation issue. is the correct, descriptive term.
Question 5 of 5
Which patient would benefit from soaking in a sitz bath?
Correct Answer: D
Rationale: A 'patient who just had hemorrhoid surgery' benefits from a sitz bath, per Potter's. Warm water e.g., 40°C, 15 minutes soothes perineum e.g., cuts pain 50% unlike 'abscessed tooth' , oral e.g., no pelvic soak. 'Fractured arm' needs ice e.g., not bath. 'Back spasms' use heat e.g., full soak, not sitz. A nurse advises e.g., Sit post-op' per comfort care (e.g., 80% of rectal cases), a basic care tool. Potter notes sitz for pelvic relief, making the correct, targeted patient.