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ATI LPN · Medical Surgical Nursing · NCLEX Style Questions on Skin Integrity and Wound Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which diagnostic test is most accurate for diagnosing osteoporosis?

A. X-ray of the femur

B. Serum alkaline phosphatase

C. Dual-energy x-ray absorptiometry (DEXA)

D. Serum bone Gla-protein test

Expert Explanatory Rationale

Correct Answer: Dual-energy x-ray absorptiometry (DEXA)

Question 2 of 5

The nurse is applying wet dressings as ordered to a patient who has a crusted skin lesion. Which assessment finding should cause the nurse the most concern?

A. Edema formation

B. Dry, macerated skin

C. Increased lesion oozing

D. Excessive skin oiliness

Expert Explanatory Rationale

Correct Answer: Dry, macerated skin

Question 3 of 5

The client with viral skin lesions is experiencing pruritus. Which statement would be an appropriate long-term goal?

A. The client will refrain from scratching the skin.

B. The client will maintain intact skin integrity.

C. The client will have relief from itching.

D. The client will not develop a secondary bacterial infection.

Expert Explanatory Rationale

Correct Answer: The client will maintain intact skin integrity.

Question 4 of 5

A nurse assesses a pressure ulcer on a child and finds full-thickness loss of the dermal layer and visible subcutaneous fat. At which stage does the nurse document this pressure ulcer to be?

A. Stage I

B. Stage II

C. Stage III

D. Stage IV

Expert Explanatory Rationale

Correct Answer: Stage III

Question 5 of 5

A nurse is preparing to discharge a patient from the emergency department after receiving treatment for an ankle sprain. While providing discharge education, the nurse should encourage which of the following?

A. Apply heat for the first 24 to 48 hours after the injury.

B. Maintain the ankle in a dependent position.

C. Exercise hourly by performing rotation exercises of the ankle.

D. Keep an elastic compression bandage on the ankle.

Expert Explanatory Rationale

Correct Answer: Keep an elastic compression bandage on the ankle.