ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?
Correct Answer: A
Rationale: Partial-thickness superficial burns (first-degree) involve the epidermis, resulting in a wet, shiny, weeping surface due to inflammation and fluid leakage.
Question 2 of 5
A nurse caring for a client who sustained a high-voltage electrical injury analyzes the client's test results. Which finding would the nurse interpret as increasing the client's risk of developing acute tubular necrosis?
Correct Answer: A
Rationale: Myoglobinuria from muscle damage in electrical injuries can obstruct renal tubules, leading to acute tubular necrosis.
Question 3 of 5
A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning?
Correct Answer: B
Rationale: Cellular changes associated with aging include thinning at the junction of the dermis and epidermis, which creates a risk for shearing injuries. Moisturizing lotions can be safely used to address the increased dryness of older adults' skin.
Question 4 of 5
A nurse practitioner working in a dermatology clinic finds an open lesion on a patient who is being assessed. What should the nurse do next?
Correct Answer: B
Rationale: If acute open wounds or lesions are found on inspection of the skin, a comprehensive assessment should be made and documented.
Question 5 of 5
Silver is used as an ingredient in many burn dressings because it:
Correct Answer: B
Rationale: Silver is an ingredient in many dressings because it helps prevent infection against a wide spectrum of common pathogens. Silver does not stimulate tissue granulation; nor does it provide pain relief or stimulate wound healing processes.