ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A 13-year-old female reports to the school nurse with concerns about her menstrual cycle. The client states that she has not yet started her period, and asks if this is normal. Which of the following should be included in the nurse's response?
Correct Answer: C
Rationale: The average age of menarche is 12.8 years; not starting by 13 is not abnormal and does not yet warrant referral or testing.
Question 2 of 5
A nurse assesses a young female client who is prescribed isotretinoin (Accutane). Which question should the nurse ask prior to starting this therapy?
Correct Answer: C
Rationale: Isotretinoin is a known teratogen, requiring a pregnancy test and strict birth control measures.
Question 3 of 5
A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn injury. The client asks, 'Why am I taking this medication?' How should the nurse respond?
Correct Answer: C
Rationale: Cimetidine prevents stomach ulcers (Curling's ulcer) common after burns due to stress response.
Question 4 of 5
An emergency room nurse implements fluid replacement for a client with severe burn injuries. The provider prescribes a liter of 0.9% normal saline to infuse over 1 hour and 30 minutes via gravity tubing with a drip factor of 30 drops/mL. At what rate should the nurse administer the infusion?
Correct Answer: C
Rationale: 1000 mL over 90 minutes with a 30 drops/mL drip factor equals 333 drops/min.
Question 5 of 5
The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?
Correct Answer: D
Rationale: Topical 5-FU causes an initial reaction of erythema, itching, and erosion that lasts 4 weeks after application of the medication is stopped. The medication is topical, so there are no systemic effects such as increased infection risk, anorexia, or nausea.