ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 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 2 of 5
While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other area should the nurse assess to confirm presence of jaundice?
Correct Answer: A
Rationale: Although skin is affected by jaundice, the best place to inspect for jaundice is in the sclera of the eye. The best places to inspect for cyanosis are the lips, nail beds, conjunctivae, and palms.
Question 3 of 5
A patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan?
Correct Answer: B
Rationale: The nurse should include monitoring for sufficient blood supply by assessing the color, temperature, and pulses of the affected extremity. Weight-bearing exercises are encouraged, but passive ROM exercises have the potential to cause pain and inhibit healing. Corticosteroids, vitamin D, and calcium are not normally administered.
Question 4 of 5
An elite high school football player has been diagnosed with a shoulder dislocation. The patient has been treated and is eager to resume his role on his team, stating that he is not experiencing pain. What should the nurse emphasize during health education?
Correct Answer: B
Rationale: Patients who have experienced sports-related injuries are often highly motivated to return to their previous level of activity. Adherence to restriction of activities and gradual resumption of activities needs to be reinforced. Appropriate analgesia use must be encouraged, but analgesia does not necessarily have to be taken in the absence of pain. If healing is complete, the patient does not likely have a greatly increased risk of reinjury. Dislocations rarely cause bleeding after the healing process.
Question 5 of 5
An older patient says that sunlight has always been avoided because of the risk for developing skin cancer. Which function of the skin has been most affected by this patient's practice?
Correct Answer: C
Rationale: Avoiding sunlight reduces the skin's ability to synthesize vitamin D, affecting vitamin D metabolism.