ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
An emergency room nurse implements fluid replacement for a client with severe burn injuries. The provider prescribes a liter of 0.9% normal saline to infuse over 1 hour and 30 minutes via gravity tubing with a drip factor of 30 drops/mL. At what rate should the nurse administer the infusion?
Correct Answer: C
Rationale: 1000 mL over 90 minutes with a 30 drops/mL drip factor equals 333 drops/min.
Question 2 of 5
The client is scheduled to have a xenograft to a left lower-leg burn. The client asks the nurse, 'What is a xenograft?' Which statement by the nurse would be the best response?
Correct Answer: C
Rationale: A xenograft uses animal skin (commonly porcine), making this the accurate response to the client's question.
Question 3 of 5
The nurse is caring for clients in an outpatient surgery clinic. Which client should be assessed first?
Correct Answer: A
Rationale: Crying may indicate distress or a complication needing immediate assessment.
Question 4 of 5
The nurse is discussing the prevention of herpes simplex 2. Which intervention should the nurse discuss with the client?
Correct Answer: D
Rationale: Not sharing towels prevents transmission of herpes simplex 2, which spreads via contact with infected secretions.
Question 5 of 5
The nurse is planning the care of a client diagnosed with psoriasis. Which psychosocial problem should be included in the plan?
Correct Answer: B
Rationale: Psoriasis's visible lesions often lead to altered body image due to social stigma.