ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A client sustains a burn injury to the entire right arm, entire right leg, and anterior thorax. According to the rule of nine's the nurse determines that what body percent was injured?
Correct Answer: B
Rationale: Per the Rule of Nines: right arm = 9%, right leg = 18%, anterior thorax = 18%. Total = 9 + 18 + 18 = 45%.
Question 2 of 5
A client with a major burn is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?
Correct Answer: B
Rationale: IV analgesics (e.g., morphine) are preferred for major burns due to rapid onset and altered absorption in other routes.
Question 3 of 5
While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?
Correct Answer: D
Rationale: With cyanosis, nail beds are dusky. With polycythemia, the nurse notes ruddy blue face, oral mucosa, and conjunctiva. A bronzed appearance, or external tan, is associated with Addison's disease. Vitiligo is a condition characterized by destruction of the melanocytes in circumscribed areas of skin and appears in light or dark skin as patchy, milky white spots, often symmetric bilaterally.
Question 4 of 5
An older adult patient is diagnosed with a vitamin D deficiency. What would be an appropriate recommendation by the nurse?
Correct Answer: A
Rationale: Skin exposed to ultraviolet light can convert substances necessary for synthesizing vitamin D (cholecalciferol).
Question 5 of 5
The nurse is providing care to manage the pain of a patient with burns. The physician has ordered opiates to be given intramuscularly. The nurse contacts the physician to change the order to intravenous administration because:
Correct Answer: D
Rationale: Edema and impaired circulation of the soft tissue interfere with absorption of medications administered subcutaneously or intramuscularly. Even though it is true intramuscular injections disrupt tissue, medication absorption is not effective. Burn pain is severe and intravenous administration is desired to relieve pain, but this is not the physiological basis for giving medications intravenously. Hypermetabolism affects medication effectiveness but is not the rationale for administering opioids intravenously.