ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A nurse arrives at an accident scene where the victim has just received an electrical burn. What is the nurse's primary concern?
Correct Answer: C
Rationale: Most electrical burns result in cardiac arrest, and the patient will require CPR or acute cardiac monitoring.
Question 2 of 5
In caring for a stage IV pressure ulcer, the nurse assesses creamy yellow drainage with a necrotic odor. Which type of bacteria most likely causes this exudate?
Correct Answer: C
Rationale: Creamy yellow drainage is usually caused by Staphylococcus infections. Proteus is associated with a beige discharge having a fishy odor. Brown discharge having a fecal odor is seen in Bacteroides. Pseudomonas-containing wounds produce a green-blue discharge with a fruity odor.
Question 3 of 5
The nurse describes several types of burn treatment. Which statement best describes the closed technique?
Correct Answer: C
Rationale: The closed technique involves covering the wound with ointment and gauze saturated with medication.
Question 4 of 5
A client is in the health care clinic for complaints of pruritus. Following diagnostic studies, it has been determined that there is not a pathophysiological process causing the pruritus. The nurse prepares instructions for the client to assist in reducing the problem and tells the client to:
Correct Answer: C
Rationale: A cool-mist vaporizer adds moisture to the air, reducing dryness-related pruritus, especially in winter.
Question 5 of 5
A nurse is preparing a plan of care for a client with a diagnosis of acute cellulitis of the lower leg. The nurse anticipates which measure will be prescribed to treat this condition?
Correct Answer: A
Rationale: Warm moist compresses promote vasodilation and enhance antibiotic delivery to the infected area in cellulitis.