ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
A clinic nurse provides instructions to a client who will be taking isotretinoin (Accutane) for severe cystic acne. Which statement by the client indicates the need for further instructions?
Correct Answer: D
Rationale: Vitamin A supplements are contraindicated with isotretinoin due to increased risk of toxicity; other statements reflect known side effects.
Question 2 of 5
A patient with an exceptionally low body mass index has been admitted to the emergency department with signs and symptoms of hypothermia. The nurse should know that this patients susceptibility to heat loss is related to atrophy of what skin component?
Correct Answer: D
Rationale: The subcutaneous tissues and the amount of fat deposits are important factors in body temperature regulation.
Question 3 of 5
The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound. The nurse's best response would be:
Correct Answer: C
Rationale: The autograft is the only permanent method of grafting and it uses the patient's own tissue to cover the burn wound. Autografting is permanent and does not require a second surgery unless the graft fails. A biological or biosynthetic graft or dressing is a temporary wound covering. A xenograft is from an animal, usually pig skin and is a temporary graft.
Question 4 of 5
During report, the nurse is told that a patient 'has moderate jaundice.' Which assessment finding should the nurse expect to see?
Correct Answer: C
Rationale: Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. Cyanosis presents as a gray cast to the skin related to poor oxygenation. Erythema is red or purple gray. Pallor is paleness.
Question 5 of 5
A patient has lost all hair over the head, face, and neck from a house fire. What should the nurse do to help the patient since the protective function of the hair has been lost?
Correct Answer: B
Rationale: Hair protects eyes from dust and sweat; its loss necessitates eye protection.