ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
Acceptable urine output for an adult is at least how many milliliters per hour?
Correct Answer: C
Rationale: The minimum acceptable urine output for an adult is 30 mL/hr.
Question 2 of 5
A nurse is caring for a client brought to the emergency room following a burn injury that occurred in the basement of the home. Which initial finding would indicate the presence of inhalation injury?
Correct Answer: B
Rationale: Singed nasal hairs are a classic initial sign of inhalation injury due to heat exposure to the upper airway.
Question 3 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 4 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 5 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.