ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
A client is admitted to the emergency department with chest pain that is consistent with myocardial infarction based on elevated troponin levels. Heart sounds are normal and vital signs are noted on the client's chart. The nurse should alert the health care provider because these changes are most consistent with which complication?
Correct Answer: A
Rationale: Progressive hypotension and tachycardia (BP 140/88 to 88/58, pulse 92 to 118) suggest cardiogenic shock post-MI.
Question 2 of 5
The nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal hypophysectomy and is recovering in the intensive care unit. Which finding should alert the nurse to the presence of a possible postoperative complication?
Correct Answer: D
Rationale: Urinary output of 800 mL/hour suggests diabetes insipidus, a common complication post-hypophysectomy due to pituitary damage, unlike the other findings which are less specific.
Question 3 of 5
A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is:
Correct Answer: D
Rationale: Infection is the most common complication and cause of death after the first 72 hours.
Question 4 of 5
Which of the following is a major function of the skin?
Correct Answer: C
Rationale: Functions of the skin include protection from the environment, temperature regulation, prevention of dehydration, excretion of waste products, and vitamin D synthesis (not C). This question was restructured from a multiple-response format to focus on a key function, with temperature regulation selected as a representative correct answer.
Question 5 of 5
Which symptom is consistent with an inhalation burn?
Correct Answer: D
Rationale: Persistent coughing, particularly if black mucus is coughed up, is an indicator of an inhalation burn.