ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
It is documented that a patient has superficial partial-thickness burns over both anterior lower arms. What should the nurse expect when assessing this patient?
Correct Answer: D
Rationale: Superficial partial-thickness burns involve the epidermis and part of the dermis, typically presenting with blisters, mild edema, and blanching due to preserved capillary refill.
Question 5 of 5
A patient is demonstrating signs of a herpes simplex virus infection. Which diagnostic test should be prescribed to confirm this diagnosis?
Correct Answer: B
Rationale: Tzanck's smear is a rapid test used to detect multinucleated giant cells characteristic of herpes simplex virus, making it the most specific diagnostic choice listed.