ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
A nurse in the emergency department (ED) is triaging a 5-year-old who has been brought to the ED by her parents for an outbreak of urticaria. What would be the most appropriate question to ask this patient and her family?
Correct Answer: A
Rationale: Foods can cause skin reactions, especially in children.
Question 2 of 5
The nurse is reviewing the functions and purpose of the skin with a group of high school students. From what source should the nurse explain that the epidermis receives its nourishment?
Correct Answer: A
Rationale: The epidermis is made of stratified squamous epithelial tissue and is avascular, meaning that it has no capillaries within it. Its nourishment comes from the dermis beneath it.
Question 3 of 5
A nurse is caring for a patient who has suffered a hip fracture and who will require an extended hospital stay. The nurse should ensure that the patient does which of the following in order to prevent common complications associated with a hip fracture?
Correct Answer: C
Rationale: Deep vein thrombosis (DVT) is among the most common complications related to a hip fracture. To prevent DVT, the nurse encourages intake of fluids and ankle and foot exercises. The patient should not be told to endure pain; a proactive approach to pain control should be adopted. While respiratory complications commonly include atelectasis and pneumonia, the use of deep-breathing exercises, changes in position at least every 2 hours, and the use of incentive spirometry help prevent the respiratory complications more than using supplementary oxygen. Bed rest may be indicated in the short term, but is not normally required for 14 days.
Question 4 of 5
A nurse is planning the care of a patient with osteomyelitis that resulted from a diabetic foot ulcer. The patient requires a transmetatarsal amputation. When planning the patient's postoperative care, which of the following nursing diagnoses should the nurse most likely include in the plan of care?
Correct Answer: C
Rationale: Amputations present a serious threat to any patient's body image. None of the other listed diagnoses is specifically associated with amputation.
Question 5 of 5
The nurse notes that a patient has longitudinal red lines in the finger nails. What health problem should the nurse suspect is causing this problem?
Correct Answer: C
Rationale: Longitudinal red lines in nails can indicate bacterial endocarditis due to vascular changes.