ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
A patient with severe eczema is starting a coal tar derivative treatment. What should the nurse include in the teaching plan for the patient relative to this treatment?
Correct Answer: B
Rationale: Persons using coal tar derivatives should avoid exposure to sunlight for 72 hours after use. The product stains clothes and bathroom fixtures.
Question 2 of 5
The nurse is caring for a patient with a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
Correct Answer: A
Rationale: A stage III pressure ulcer presents as a crater-like ulcer and underlying subcutaneous tissue is involved in the destructive process. Skin that does not blanch with pressure or is mottled are findings consistent with a stage I pressure ulcer. Excoriation around the lesion is consistent with scratching or another abrasive force.
Question 3 of 5
A nurse assesses the carbon monoxide level of a client following a burn injury and notes that the level is 8%. Based on this level, which finding would the nurse expect to note during the assessment of the client?
Correct Answer: A
Rationale: A carbon monoxide level of 8% is mild (<10%) and may cause tachycardia as the body compensates for reduced oxygen-carrying capacity.
Question 4 of 5
A community health nurse has provided fire safety instructions to a group of individuals who are part of a disaster response team. Which statement by a group member indicates a need for further instructions?
Correct Answer: D
Rationale: Standing allows flames to rise and spread; stopping, dropping, and rolling or smothering are correct responses.
Question 5 of 5
A client with severe psoriasis has a nursing diagnosis of Chronic Low SelfEsteem. The nurse uses which therapeutic strategy when working with this client?
Correct Answer: A
Rationale: Listening attentively fosters trust and supports self-esteem by validating the client's feelings.