ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A client reports a pain level of 6 on a 0-10 pain scale. The nurse offers to review the orders for additional pain medication. The client states 'I really don't want to take any more pain medication, because I am afraid I will become addicted.' The nurse's response should focus on which concept?
Correct Answer: A
Rationale: Clients might fear physical dependence on pain medications, especially opioids, postoperatively. The duration of use is typically short-term, and this concern should be discussed as it is not anticipated to occur.
Question 2 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 3 of 5
A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively coping with the disorder?
Correct Answer: A
Rationale: The nurse should complete a psychosocial assessment to determine if the client is coping effectively. Signs of adequate coping include clean hair, skin, and nails; good eye contact; and being socially active.
Question 4 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 5 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.