ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is 0.14 seconds, the QRS complexes measure 0.08 seconds, and the PP and RR intervals are regular. How should the nurse correctly interpret this rhythm?
Correct Answer: A
Rationale: Rate >100 with normal PR (0.12-0.20 s) and QRS (<0.12 s) indicates sinus tachycardia.
Question 2 of 5
Most of the deaths from burn trauma in the emergent phase that require a referral to a burn center result from:
Correct Answer: C
Rationale: Hypovolemic shock is frequently lethal in the emergent period of a severe burn because of the transfer of fluids into the interstitial tissue from the circulating volume.
Question 3 of 5
Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?
Correct Answer: C
Rationale: A layer in the epidermis contains highly specialized cells called melanocytes.
Question 4 of 5
While bathing a patient, the nurse assesses a red, unblanchable area on the coccyx. Which type of dressing should the nurse apply?
Correct Answer: A
Rationale: A transparent film for a stage I pressure ulcer will protect it from shearing injury and will retain moisture. A hydrocolloid dressing would be appropriate for a larger, more advanced pressure ulcer. There is no discharge in a stage I pressure ulcer, making absorbent and wet-to-dry dressing options inappropriate.
Question 5 of 5
The nurse describes several types of burn treatment. Which statement best describes an escharotomy?
Correct Answer: A
Rationale: An escharotomy is an incision to relieve pressure and improve circulation in constricted burn areas.