ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
A competent elderly client has a living will. The living will expressed the desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive. Which of the following actions by the nursing staff is most appropriate?
Correct Answer: C
Rationale: The client is competent, so their wishes take priority. The document should be placed on the chart and the physician notified. Family disagreement does not invalidate the document.
Question 2 of 5
A pregnant client reports to the clinic and learns she has tested positive for herpes simplex. The nurse develops a plan of care. Which of the following nursing diagnoses has the highest priority?
Correct Answer: A
Rationale: The greatest risk is complications from herpes simplex (e.g., neonatal transmission), making 'Injury, Risk for' the top priority.
Question 3 of 5
A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client's education?
Correct Answer: D
Rationale: The client should apply lotion immediately after bathing to retain moisture in the skin, which is more effective than other methods listed.
Question 4 of 5
Based on the data of a 78-year-old male with a chronic leg wound prescribed warfarin and VAC treatment, which action should the nurse take first?
Correct Answer: B
Rationale: A client on anticoagulants is not a candidate for VAC due to bleeding risks; the provider needs this information quickly.
Question 5 of 5
A nurse cares for a client with burn injuries. Which intervention should the nurse implement to appropriately reduce the client's pain?
Correct Answer: A
Rationale: IV morphine is appropriate for pain management in burn injuries due to absorption issues.