ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
While providing care to the parents of a baby boy who has the chromosomal makeup of XXY, which of the following should be included in the teaching plan?
Correct Answer: D
Rationale: XXY (Klinefelter syndrome) may alter secondary sexual characteristics due to genetic mutations. Enlarged genitals, cancer risk, and sterility are not consistently supported.
Question 2 of 5
A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for pressure ulcer development?
Correct Answer: C
Rationale: Being immobile and incontinent are two significant risk factors for the development of pressure ulcers, making the 65-year-old at highest risk.
Question 3 of 5
Which client wound is paired with the appropriate treatment?
Correct Answer: A
Rationale: Whirlpool treatment can gently remove necrosis from a heel ulcer, making it an appropriate pairing.
Question 4 of 5
A nurse cares for a client with burn injuries from a house fire. The client is not consistently oriented and reports a headache. Which action should the nurse take?
Correct Answer: B
Rationale: Symptoms suggest carbon monoxide poisoning, requiring a carboxyhemoglobin level check.
Question 5 of 5
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
Correct Answer: C
Rationale: An incisional biopsy would remove the entire mole and the tissue borders. The appearance of the mole indicates that it may be malignant. A shave biopsy would not remove the entire mole. The mole is too large to be removed with punch biopsy. Excisional biopsies are done for smaller lesions and where a good cosmetic effect is desired, such as on the face.