ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
During the emergent phase of burn management, what is the first responder's first intervention?
Correct Answer: C
Rationale: The primary concern is to stop the burning process, arrest skin damage, provide an open airway, control any bleeding, prevent infection by covering with a clean cloth, and obtain medical help by transporting to the nearest hospital.
Question 2 of 5
The nurse describes several types of burn treatment. Which statement best describes an allograft?
Correct Answer: B
Rationale: An allograft is a biologic dressing sourced from human cadaver skin.
Question 3 of 5
A nurse notes documentation of a stage 3 pressure ulcer in a client's record. Which of the following would the nurse expect to note on assessment of the client?
Correct Answer: B
Rationale: Stage 3 pressure ulcers involve full-thickness skin loss into the subcutaneous tissue, but not muscle or bone.
Question 4 of 5
The client who is newly admitted to the hospital for treatment of acute cellulitis of the lower left leg asks the nurse about the nature of the disorder. The nurse would respond that cellulitis is actually:
Correct Answer: A
Rationale: Cellulitis is a bacterial infection extending into the deep dermis and subcutaneous fat, often caused by Streptococcus or Staphylococcus.
Question 5 of 5
When taking the health history for a patient, the nurse discovers that the patient works as a roofer. The nurse will plan to teach the patient about how to self-assess for clinical manifestations of
Correct Answer: D
Rationale: A patient who works as a roofer is at risk for integumentary lesions caused by sun exposure such as wrinkling, melanoma, telangiectasia, and actinic keratoses. Alopecia and intertrigo are not associated with excessive sun exposure. Melanoma is the most concerning condition among the options provided.