ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
A nurse assesses a client who has burn injuries and notes crackles in bilateral lung bases, a respiratory rate of 40 breaths/min, and a productive cough with blood-tinged sputum. Which action should the nurse take next?
Correct Answer: D
Rationale: Pulmonary edema from fluid resuscitation can be relieved by placing the client upright.
Question 2 of 5
Which information will the nurse include when teaching an older patient about skin care?
Correct Answer: C
Rationale: Warm water and moisturizing soap will avoid overdrying the skin. Because older patients have dryer skin, daily bathing and shampooing are not necessary and may dry the skin unnecessarily. Antibacterial soaps are not necessary. Lotions should be applied while the skin is still damp to seal moisture in.
Question 3 of 5
The nurse is caring for a client with deep partial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider?
Correct Answer: D
Rationale: Low urinary output (50 mL in 2 hours) suggests inadequate fluid resuscitation or renal compromise, requiring immediate provider notification.
Question 4 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a dermatology clinic. Which task should not be delegated to the UAP?
Correct Answer: C
Rationale: Discussing client problems requires nursing judgment, beyond the UAP's scope.
Question 5 of 5
Which intervention should the nurse implement for a client diagnosed with disseminated herpes zoster secondary to AIDS?
Correct Answer: A
Rationale: Disseminated herpes zoster in AIDS requires contact isolation to prevent transmission due to immunocompromise.