ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?
Correct Answer: B
Rationale: Maintaining a supine position could worsen gas exchange due to reduced lung expansion and potential airway obstruction. Repositioning, suctioning, and humidified oxygen support airway management.
Question 2 of 5
A client sustained a major burn is beginning to take an oral diet again. The nurse plans to encourage the client to eat variety of which of the following types of foods to best help in continued wound healing and tissue repair?
Correct Answer: D
Rationale: High protein supports tissue repair, and high carbohydrates provide energy for healing in burn recovery.
Question 3 of 5
The nurse in an ambulatory care center is admitting an older adult patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what?
Correct Answer: A
Rationale: Cherry angiomas appear as bright red moles, while solar lentigo are commonly called liver spots. Seborrheic keratoses are described as crusty brown stuck-on patches, while xanthelasma appears as yellowish, waxy deposits on the upper eyelids.
Question 4 of 5
An 80-year-old patient is brought to the clinic by her son. The son asks the nurse why his mother has gotten so many spots on her skin. What would be an appropriate response by the nurse?
Correct Answer: A
Rationale: The major changes in the skin of older people include dryness, wrinkling, uneven pigmentation, and various proliferative lesions.
Question 5 of 5
The nurse is caring for patient who has been struck by lightning. Because of the nature of the injury, the nurse assesses the patient for which of the following?
Correct Answer: A
Rationale: Lightning injury frequently causes cardiopulmonary arrest. However, of those patients who survive, 70% will have transient central nervous system deficits. Contractures, infection, and stress ulcer risks are no greater than with other causes of burn injury.