INTEG NCLEX 6/15/20 ATI PRACTICE ASSESSMENT ACTUAL 2025/2026 QUESTIONS AND 100% CORRECT ANSWERS

INTEG NCLEX 6/15/20 ATI PRACTICE ASSESSMENT ACTUAL 2025/2026 QUESTIONS AND 100% CORRECT ANSWERS A nurse is caring for a client who has a surgical wound. Which of the following factors places the client at risk for dehiscence? (Select all that apply.) - Answer --Poor nutritional state The client who is malnourished is at risk for dehiscence due to impaired healing. -Obesity The client who is obese is at risk for dehiscence due to poor healing abilities of adipose tissue and the constant strain placed on the incision. -Wound infectionThe client who has a wound infection is at risk for dehiscence due to delayed healing. A nurse is collecting data on a client who has a surgical wound healing by secondary intention. Which of the following findings should the nurse report to the charge nurse? - Answer --The wound has a halo of erythema on the surrounding skin. A ring of redness on the surrounding skin can indicate underlying infection, and the nurse should report any indication of infection such as purulent drainage, swelling, warmth, or strong odor. A nurse is reinforcing teaching to a client about skin cancer. Which of the following statements by the client indicates a need for further teaching? - Answer --"Eating a high fiber diet will reduce my risk for developing skin cancer." The nurse should inform the client that a high fiber diet is recommended to reduce the risk of colon cancer, not skin cancer. A nurse in a dermatologic clinic is caring for a client who has a malignant melanoma. The nurse should anticipate a prescription for which of the following laboratory test to determine if the melanoma has metastasized? - Answer --Lactic dehydrogenase and aminotransferaseElevations of lactic dehydrogenase and aminotransferase can indicate metastasis to the client's liver. A nurse is discussing alopecia with a client who is to begin chemotherapy. Which of the following statements should the nurse include? - Answer --Hair loss is common and includes eyebrows and eyelashes. The nurse should inform the client that alopecia occurs as a whole-body hair loss for most clients administered chemotherapy. A nurse is reinforcing teaching with a client about the risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching? - Answer --"I need to use sunscreen even in winter." The client should use sunscreen daily to minimize the negative effects of ultraviolet rays. The vast majority of cases of skin cancer diagnosed each year are considered to be sun related. A nurse is caring for a client following the application of an aquathermia pad. Which of the following manifestations should the nurse identify as an indication that the client has a superficial burn? - Answer --Erythema Erythema is a manifestation of a superficial burn. A nurse is assisting with the care of a client who has partial-thickness and full-thickness burns to his upper torso and face. Which of thefollowing action should the nurse take to prevent infection? - Answer -- Change gloves between sites when providing wound care to multiple wounds. To prevent cross-contamination of wounds, the nurse should wear sterile gloves during all dressing changes and wound care activities. The nurse should change gloves when providing wound care to a new wound site on a different area of the client's body. A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown? (Select all that apply.) - Answer --Use pillows to keep heels off the bed surface