Ati Health Assess 2.0 Skin Test

Question: A nurse is preparing to assess the skin turgor of a client who has manifestations of dehydration. In which of the following locations should the nurse perform the assessment?

Answer: inferior to the collar bone

Question: A nurse is inspecting the fingernails of an older adult client. Which of the following findings should the nurse report to the provider?

Answer: Spongy base

Question: A nurse is providing teaching to a client who reports extremely dry skin. Which of the following interventions should the nurse recommend?

Answer: Apply an Alcohol free lotion

Question: A nurse is teaching a young adult about risk factors for developing melanoma. Which of the following client statements indicates an understanding of the teaching?

Answer: “The blistering sunburns I had as a child increase my risk for melanoma as an adult.”

Question: A nurse is caring for a client who has a stage 1 pressure injury. Which of the following information should the nurse include when documenting the characteristics of the wound? (Select all that apply.)

Answer: Location of pressure injury

Size of injury in cm

Integrity of skin surrounding wound

Question: A nurse is evaluating assessment findings of a client’s skin. The nurse should identify that which of the following findings is associated with a possible infection?

Answer: Vesicles

Question: A nurse is examining the texture of an older adult client’s skin. Which of the following findings should the nurse report to the provider?

Answer: Velvety Skin

Question: A nurse is performing a skin assessment on a client. Which of the following findings should the nurse report to the provider?

Answer: Yellow Discoloration of the palms

Question: A nurse is collecting data from a client about their skin and nails. Which of the following statements by the client should the nurse identify as needing further assessment?

Answer: “I noticed that my fingernails have changed recently.”

Question: A nurse is assessing a client’s skin color. Which of the following findings should the nurse report to the provider? (Select all that apply.)

Answer: Pinpoint areas of purplish-red coloration across the abdomen

Pale Colored Nailbeds