ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively coping with the disorder?
Correct Answer: A
Rationale: The nurse should complete a psychosocial assessment to determine if the client is coping effectively. Signs of adequate coping include clean hair, skin, and nails; good eye contact; and being socially active.
Question 2 of 5
A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn injury. The client asks, 'Why am I taking this medication?' How should the nurse respond?
Correct Answer: C
Rationale: Cimetidine prevents stomach ulcers (Curling's ulcer) common after burns due to stress response.
Question 3 of 5
An emergency room nurse implements fluid replacement for a client with severe burn injuries. The provider prescribes a liter of 0.9% normal saline to infuse over 1 hour and 30 minutes via gravity tubing with a drip factor of 30 drops/mL. At what rate should the nurse administer the infusion?
Correct Answer: C
Rationale: 1000 mL over 90 minutes with a 30 drops/mL drip factor equals 333 drops/min.
Question 4 of 5
The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?
Correct Answer: D
Rationale: Topical 5-FU causes an initial reaction of erythema, itching, and erosion that lasts 4 weeks after application of the medication is stopped. The medication is topical, so there are no systemic effects such as increased infection risk, anorexia, or nausea.
Question 5 of 5
The client is scheduled to have a xenograft to a left lower-leg burn. The client asks the nurse, 'What is a xenograft?' Which statement by the nurse would be the best response?
Correct Answer: C
Rationale: A xenograft uses animal skin (commonly porcine), making this the accurate response to the client's question.