ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
Following myringotomy for acute otitis media, which topic would be appropriate for teaching about home management by the nurse?
Correct Answer: B
Rationale: Air travel should not cause pressure buildup post-myringotomy due to tube equalization. Irrigations, swabs, and water exposure are contraindicated to prevent contamination.
Question 2 of 5
During skin inspection of a client, a nurse observes lesions with wavy borders that are widespread across the client's chest. Which descriptors should the nurse use to document these observations?
Correct Answer: C
Rationale: Diffuse is used to describe lesions that are widespread. Serpiginous describes lesions with wavy borders.
Question 3 of 5
A nurse prepares to discharge a client who has a wound and is prescribed home health care. Which information should the nurse include in the hand-off report to the home health nurse?
Correct Answer: A
Rationale: The hospital nurse should provide details about the wound, including size and appearance, in the hand-off report.
Question 4 of 5
A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula. The client's urine output continues to range from 0.2 to 0.25 mL/kg/hr. Which prescription should the nurse question?
Correct Answer: B
Rationale: Furosemide is inappropriate as it would worsen fluid loss in a burn client needing increased fluids.
Question 5 of 5
Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of most concern for the nurse?
Correct Answer: A
Rationale: Because the patient will be receiving antibiotics to treat the pneumonia, the nurse should be most concerned about her history of allergic rashes. The nurse needs to do further assessment of possible causes of the allergic rashes and whether she has ever had allergic reactions to any drugs, especially antibiotics. The assessment data in the other response would be normal for an older patient.