ATI LPN
Integumentary System Quiz Questions Questions
Question 1 of 5
A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep. The nurse should consult with the provider to further assess the patient for:
Correct Answer: B
Rationale: Burn-injured patients experience psychologically devastating injuries in addition to physical injuries. Burn patients that demonstrate changes in behavior, anxiety, insomnia, regression, and acting out should be evaluated for posttraumatic stress disorder. Acute delirium is more likely to occur during the acute phase of injury. Suicidal ideations should always be addressed if the patient expresses or shows signs of suicidal thoughts. Burn-injured patients may have an underlying mental health disorder that requires treatment, such as bipolar disorder or schizophrenia.
Question 2 of 5
An emergency department nurse is assessing a 17-year-old soccer player who presented with a knee injury. The patient's description of the injury indicates that his knee was struck medially while his foot was on the ground. The nurse knows that the patient likely has experienced what injury?
Correct Answer: A
Rationale: When the knee is struck medially, damage may occur to the lateral collateral ligament. If the knee is struck laterally, damage may occur to the medial collateral ligament. The ACL and PCL are not typically injured in this way.
Question 3 of 5
A patient has returned to the postsurgical unit from the PACU after an above-the-knee amputation of the right leg. Results of the nurse's initial postsurgical assessment were unremarkable but the patient has called out. The nurse enters the room and observes copious quantities of blood at the surgical site. What should be the nurse's initial action?
Correct Answer: A
Rationale: The nurse should apply a tourniquet in the event of postsurgical hemorrhage. Elevating the limb and applying sterile gauze are likely insufficient to stop the hemorrhage. The nurse should attempt to control the immediate bleeding before contacting the surgeon.
Question 4 of 5
The nurse notes that a patient with a skin rash has an elevated white blood cell count. What should this information suggest to the nurse?
Correct Answer: A
Rationale: An elevated white blood cell count indicates the presence of an infection.
Question 5 of 5
An 11-year-old child received burns over both upper and lower arms, both hands, anterior upper and lower legs, anterior chest, and the neck. Using the following as a guide, what is this child's total body surface area burned?
Correct Answer: C
Rationale: For an 11-year-old: Head (11%), Neck (2%), Anterior trunk (13%), R/L upper arms (4% each = 8%), R/L lower arms (3% each = 6%), R/L hands (2.5% each = 5%), R/L thighs (8.5% each = 17%), R/L legs (6.5% each = 13%). Total = 57%.