ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
A patient with an exceptionally low body mass index has been admitted to the emergency department with signs and symptoms of hypothermia. The nurse should know that this patients susceptibility to heat loss is related to atrophy of what skin component?
Correct Answer: D
Rationale: The subcutaneous tissues and the amount of fat deposits are important factors in body temperature regulation.
Question 2 of 5
During report, the nurse is told that a patient 'has moderate jaundice.' Which assessment finding should the nurse expect to see?
Correct Answer: C
Rationale: Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. Cyanosis presents as a gray cast to the skin related to poor oxygenation. Erythema is red or purple gray. Pallor is paleness.
Question 3 of 5
A patient has lost all hair over the head, face, and neck from a house fire. What should the nurse do to help the patient since the protective function of the hair has been lost?
Correct Answer: B
Rationale: Hair protects eyes from dust and sweat; its loss necessitates eye protection.
Question 4 of 5
An emergency department patient is diagnosed with a hip dislocation. The patient's family is relieved that the patient has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?
Correct Answer: D
Rationale: If a dislocation or subluxation is not reduced immediately, avascular necrosis (AVN) may develop. Bone remodeling does not take place because a fracture has not occurred. Realignment does not become more difficult with time and pain would subside with time, not become worse.
Question 5 of 5
A patient asks why it takes so long for fingernails to grow. How should the nurse respond to this patient?
Correct Answer: B
Rationale: Nails grow slowly but continuously throughout life, which explains why it takes time for them to grow.