ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A burned patient had an escharotomy on the right anterior thigh. Which assessment finding indicates that this procedure has been effective?
Correct Answer: D
Rationale: An escharotomy is performed when eschar impedes circulation. Strong and equal pedal pulses indicate return of circulation.
Question 2 of 5
Which intervention should the nurse implement first when applying a DermaDress dressing to a client diagnosed with a stage 2 pressure ulcer on the coccyx?
Correct Answer: A
Rationale: The first step is to clean the wound with DermaKlenz, followed by removing the backing, applying the dressing, and securing it (in that order: 3, 2, 4, 1).
Question 3 of 5
The client has a diagnosis of second- and third-degree burns to 40% of the body. The HCP writes an order for 9,000 mL of fluid to be infused over the next 24 hours, with half in the first 8 hours. What rate would the nurse set the IV pump for the first 8 hours?
Correct Answer: B
Rationale: Total fluid: 9,000 mL; half (4,500 mL) in 8 hours = 4,500 ÷ 8 = 562.5 mL/hr, rounded to 563 mL/hr. This aligns with burn resuscitation formulas.
Question 4 of 5
Which of the following statements are correct regarding tumors of sweat and sebaceous glands?
Correct Answer: A
Rationale: Benign and malignant tumors of sweat and sebaceous glands are rare.
Question 5 of 5
Which of the following statements are correct regarding subungual exostosis?
Correct Answer: A
Rationale: Subungual exostosis most commonly affects the fifth toe.