ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 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 2 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.
Question 3 of 5
The mother of a severely handicapped child states she is exhausted and voices the need to 'take a break' to the nurse. What type of referral would best benefit the client?
Correct Answer: A
Rationale: Individuals who are faced with caring for ill or handicapped family members might need a 'break.' The best option would be a respite care provider, which offers short in-home services to free the caregiver temporarily. Hospice care is for dying clients, home health care is for clients unable to leave home, and ambulatory clinics are for limited point-of-care services.
Question 4 of 5
After suffering a massive cerebral hemorrhage, a client of American Indian descent is not expected to survive. The family arrives at the hospital. In conversation with the family, they report they observe most of their religious and cultural traditions. Which of the following interventions by the nursing staff would be most appropriate?
Correct Answer: A
Rationale: Traditional American Indians prefer to mourn in private, often away from the dying client. Offering a private room respects this cultural practice.
Question 5 of 5
A client is scheduled to undergo a prostate biopsy. When providing education concerning postoperative care related to the procedure, which of the following should be included?
Correct Answer: B
Rationale: The client might experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided for only about 4 hours, not 24, and sexual contacts are irrelevant.