ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
A client sustained a major burn is beginning to take an oral diet again. The nurse plans to encourage the client to eat variety of which of the following types of foods to best help in continued wound healing and tissue repair?
Correct Answer: D
Rationale: High protein supports tissue repair, and high carbohydrates provide energy for healing in burn recovery.
Question 2 of 5
An 80-year-old patient is brought to the clinic by her son. The son asks the nurse why his mother has gotten so many spots on her skin. What would be an appropriate response by the nurse?
Correct Answer: A
Rationale: The major changes in the skin of older people include dryness, wrinkling, uneven pigmentation, and various proliferative lesions.
Question 3 of 5
The nurse is caring for patient who has been struck by lightning. Because of the nature of the injury, the nurse assesses the patient for which of the following?
Correct Answer: A
Rationale: Lightning injury frequently causes cardiopulmonary arrest. However, of those patients who survive, 70% will have transient central nervous system deficits. Contractures, infection, and stress ulcer risks are no greater than with other causes of burn injury.
Question 4 of 5
While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other area should the nurse assess to confirm presence of jaundice?
Correct Answer: A
Rationale: Although skin is affected by jaundice, the best place to inspect for jaundice is in the sclera of the eye. The best places to inspect for cyanosis are the lips, nail beds, conjunctivae, and palms.
Question 5 of 5
A patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan?
Correct Answer: B
Rationale: The nurse should include monitoring for sufficient blood supply by assessing the color, temperature, and pulses of the affected extremity. Weight-bearing exercises are encouraged, but passive ROM exercises have the potential to cause pain and inhibit healing. Corticosteroids, vitamin D, and calcium are not normally administered.