ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
Which of the following is a nursing intervention for the treatment of head lice and scabies?
Correct Answer: A
Rationale: Identify involved contacts while stressing importance of preventing transmission of disease. Washable and clothing items should be cleaned in hot water to prevent reinfection. No special diet or isolation is required once medical management is completed. This question was restructured from a multiple-response format.
Question 2 of 5
A client sustains a burn injury to the entire right arm, entire right leg, and anterior thorax. According to the rule of nine's the nurse determines that what body percent was injured?
Correct Answer: B
Rationale: Per the Rule of Nines: right arm = 9%, right leg = 18%, anterior thorax = 18%. Total = 9 + 18 + 18 = 45%.
Question 3 of 5
A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and lifethreatening dysfunctions have been addressed, the nurse reviews the physician's orders anticipating that which pain medication will be prescribed?
Correct Answer: A
Rationale: IV morphine is preferred for severe burn pain due to rapid onset and ability to titrate in an emergency setting.
Question 4 of 5
A client with a major burn is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?
Correct Answer: B
Rationale: IV analgesics (e.g., morphine) are preferred for major burns due to rapid onset and altered absorption in other routes.
Question 5 of 5
While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?
Correct Answer: D
Rationale: With cyanosis, nail beds are dusky. With polycythemia, the nurse notes ruddy blue face, oral mucosa, and conjunctiva. A bronzed appearance, or external tan, is associated with Addison's disease. Vitiligo is a condition characterized by destruction of the melanocytes in circumscribed areas of skin and appears in light or dark skin as patchy, milky white spots, often symmetric bilaterally.