ATI LPN
NCLEX Questions on Integumentary System Questions
Question 1 of 5
While assessing a client's lower extremities, a nurse notices that one leg is pale and cooler to the touch. Which assessment should the nurse perform next?
Correct Answer: B
Rationale: Localized, decreased skin temperature and pallor indicate interference with vascular flow to the region. The nurse should assess bilateral pedal pulses to screen for vascular sufficiency. Without adequate blood flow, the client's limb could be threatened.
Question 2 of 5
A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive perspective of his or her appearance?
Correct Answer: C
Rationale: Self-care activities like bathing and dressing foster feelings of self-worth linked to body image.
Question 3 of 5
Which age-related change is paired appropriately with its complication from burn injuries in an older client?
Correct Answer: C
Rationale: Reduced thoracic compliance increases atelectasis risk in older burn clients.
Question 4 of 5
The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
Correct Answer: A
Rationale: The treatment for impetigo includes softening of the crusts with warm saline soaks and then soap-and-water removal. Alcohol-based cleansers and use of petroleum jelly are not recommended for impetigo. Antibiotic ointments, such as mupirocin (Bactroban), may be applied to the lesions.
Question 5 of 5
The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer?
Correct Answer: D
Rationale: Ensuring adequate peripheral circulation is critical before transfer to prevent complications like compartment syndrome, especially with full-thickness burns affecting extremities.