Ignatavicius Medical-Surgical Nursing Chapter 25 (Skin)
| Exam Review | Latest Update 2026 | Graded A+
1. Why is it important for clients to clean their chronic wounds regularly?
To prevent infection and promote healing.
To avoid seeing a doctor.
To reduce pain during dressing changes.
To save on medical supplies.
2. The nursing assistant (NA) is assigned to care for a client who has a lesion diagnosed
as shingles. The nursing assistant has never had chicken pox or the vaccine to prevent
it. What action should the nursing assistant take?
Take the assignment and then get vaccinated to prevent chicken pox.
Refuse the assignment because the NA could develop chicken pox.
Wear a mask and gloves to prevent developing chicken pox.
Care for the client and get vaccinated to prevent shingles.
3. How does a low prealbumin level affect wound healing in patients?
A low prealbumin level indicates inadequate nutritional status, which can
impair wound healing.
A low prealbumin level has no effect on wound healing.
A low prealbumin level suggests the patient is well-nourished.
A low prealbumin level indicates a high risk of infection.
4. What does 'bottoming out' in a pressure-relieving mattress overlay indicate?
, The client is at low risk for pressure ulcers.
The mattress requires cleaning.
The mattress is functioning correctly.
The device is not appropriate for the client.
5. When counseling a client with a pressure ulcer, which type of diet should the nurse
recommend to promote wound healing?
Low sodium.
High fiber.
High protein.
Low fat.
6. Why are cool, moist compresses recommended for clients with eczematous
dermatitis?
They promote the absorption of topical medications.
They provide a barrier against infection.
They help decrease inflammation and soothe the skin.
They increase blood flow to the affected area.
7. A nurse evaluates the following data in a client's chart: Admission Note Laboratory
Results Wound Care Note 66-year-old male with a health history of a cerebral
vascular accident and left-side paralysis White blood cell count: 8000/mm3
Prealbumin: 15.2 mg/dL Albumin: 4.2 mg/dL Lymphocyte count: 2000/mm3 Sacral
ulcer - 4 cm ´ 2 cm ´ 1.5 cm Based on this information, which action should the nurse
take?
, Initiate Contact Precautions.
Assess the client's vital signs.
Perform a neuromuscular assessment.
Request a dietary consult.
8. A client is immobile in the intensive care unit (ICU) of a local hospital. Which of the
following activities will BEST prevent pressure sores?
Providing extra padding under the pelvis.
Placing the client in a supine position.
Asking the client to sit upright 8 hours of each day.
Turning the client every 2 hours.
9. If a nurse notices that a client is at high risk for pressure ulcers, which intervention
should be prioritized to prevent skin breakdown?
Use standard hospital bed linens without modifications.
Increase the frequency of dressing changes.
Implement pressure-relieving devices.
Encourage the client to remain in bed as much as possible.
10. The nurse is assessing four clients with surgical wounds. Which wound should the
nurse ask the provider to evaluate?
A wound with serosanguineous exudate 4 hours post-op
A wound with purulent exudate 4 days post-op A
wound with serous exudate 4 days post-op
A wound with sanguineous exudate 4 hours post-op
, 11. The nurse conducts a family assessment. Which is the nurse's priority question?
"What coping mechanisms are used to deal with stressors?"
"How many times have you been married?"
"What are the ages of each person in your family?"
"How many members are in your family?"
12. Describe why it is important to assess staff for a history of or vaccination for
chickenpox when admitting a client with herpes zoster.
It is important to assess staff for a history of or vaccination for chickenpox to
prevent the spread of the virus to those who are susceptible.
It is important to check staff for allergies to medications.
It is important to confirm staff can administer analgesia effectively.
It is important to ensure staff are trained in wound care techniques.
13. Why is it important for the nurse to contact the provider regarding the VAC
treatment for a client on anticoagulants?
The VAC treatment requires special training that the nurse lacks.
The provider needs to approve the nurse's assessment of the wound.
The VAC treatment is not effective for chronic wounds.
The VAC treatment poses a risk of bleeding complications for clients on
anticoagulants.
14. Why is it important for a nurse to inquire about medication changes when assessing
a client with worsening psoriatic lesions?
| Exam Review | Latest Update 2026 | Graded A+
1. Why is it important for clients to clean their chronic wounds regularly?
To prevent infection and promote healing.
To avoid seeing a doctor.
To reduce pain during dressing changes.
To save on medical supplies.
2. The nursing assistant (NA) is assigned to care for a client who has a lesion diagnosed
as shingles. The nursing assistant has never had chicken pox or the vaccine to prevent
it. What action should the nursing assistant take?
Take the assignment and then get vaccinated to prevent chicken pox.
Refuse the assignment because the NA could develop chicken pox.
Wear a mask and gloves to prevent developing chicken pox.
Care for the client and get vaccinated to prevent shingles.
3. How does a low prealbumin level affect wound healing in patients?
A low prealbumin level indicates inadequate nutritional status, which can
impair wound healing.
A low prealbumin level has no effect on wound healing.
A low prealbumin level suggests the patient is well-nourished.
A low prealbumin level indicates a high risk of infection.
4. What does 'bottoming out' in a pressure-relieving mattress overlay indicate?
, The client is at low risk for pressure ulcers.
The mattress requires cleaning.
The mattress is functioning correctly.
The device is not appropriate for the client.
5. When counseling a client with a pressure ulcer, which type of diet should the nurse
recommend to promote wound healing?
Low sodium.
High fiber.
High protein.
Low fat.
6. Why are cool, moist compresses recommended for clients with eczematous
dermatitis?
They promote the absorption of topical medications.
They provide a barrier against infection.
They help decrease inflammation and soothe the skin.
They increase blood flow to the affected area.
7. A nurse evaluates the following data in a client's chart: Admission Note Laboratory
Results Wound Care Note 66-year-old male with a health history of a cerebral
vascular accident and left-side paralysis White blood cell count: 8000/mm3
Prealbumin: 15.2 mg/dL Albumin: 4.2 mg/dL Lymphocyte count: 2000/mm3 Sacral
ulcer - 4 cm ´ 2 cm ´ 1.5 cm Based on this information, which action should the nurse
take?
, Initiate Contact Precautions.
Assess the client's vital signs.
Perform a neuromuscular assessment.
Request a dietary consult.
8. A client is immobile in the intensive care unit (ICU) of a local hospital. Which of the
following activities will BEST prevent pressure sores?
Providing extra padding under the pelvis.
Placing the client in a supine position.
Asking the client to sit upright 8 hours of each day.
Turning the client every 2 hours.
9. If a nurse notices that a client is at high risk for pressure ulcers, which intervention
should be prioritized to prevent skin breakdown?
Use standard hospital bed linens without modifications.
Increase the frequency of dressing changes.
Implement pressure-relieving devices.
Encourage the client to remain in bed as much as possible.
10. The nurse is assessing four clients with surgical wounds. Which wound should the
nurse ask the provider to evaluate?
A wound with serosanguineous exudate 4 hours post-op
A wound with purulent exudate 4 days post-op A
wound with serous exudate 4 days post-op
A wound with sanguineous exudate 4 hours post-op
, 11. The nurse conducts a family assessment. Which is the nurse's priority question?
"What coping mechanisms are used to deal with stressors?"
"How many times have you been married?"
"What are the ages of each person in your family?"
"How many members are in your family?"
12. Describe why it is important to assess staff for a history of or vaccination for
chickenpox when admitting a client with herpes zoster.
It is important to assess staff for a history of or vaccination for chickenpox to
prevent the spread of the virus to those who are susceptible.
It is important to check staff for allergies to medications.
It is important to confirm staff can administer analgesia effectively.
It is important to ensure staff are trained in wound care techniques.
13. Why is it important for the nurse to contact the provider regarding the VAC
treatment for a client on anticoagulants?
The VAC treatment requires special training that the nurse lacks.
The provider needs to approve the nurse's assessment of the wound.
The VAC treatment is not effective for chronic wounds.
The VAC treatment poses a risk of bleeding complications for clients on
anticoagulants.
14. Why is it important for a nurse to inquire about medication changes when assessing
a client with worsening psoriatic lesions?
