ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
Which question is most important for the nurse to ask the client admitted to the ED diagnosed with a partial- and full-thickness burn to the left leg?
Correct Answer: A
Rationale: A tetanus toxoid is administered early in burn care to prevent Clostridium tetani infection. If the last shot was over 10 years ago or unknown, a booster is needed, making this the most critical question in the ED. Other questions are relevant but not as immediately urgent.
Question 2 of 5
The client is reporting an inability to sleep because of pruritus secondary to a skin irritation on the lower extremities. Which information should the nurse discuss with the client?
Correct Answer: A
Rationale: Hydroxyzine relieves itching and promotes sleep. Antibacterial ointment doesn't address pruritus, soaking may worsen irritation, and occlusive dressings don't help itching.
Question 3 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 4 of 5
Most cases of psoriasis first present before the age of:
Correct Answer: C
Rationale: Most cases of psoriasis first present before the age of 15 years.
Question 5 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.