ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
Nurse Jody formulates a nursing diagnosis of Impaired physical mobility for a client with third-degree burns on the lower portions of both legs. To complete the nursing diagnosis statement, the nurse should add which 'related-to' phrase?
Correct Answer: B
Rationale: Circumferential eschar can restrict movement and blood flow, directly impairing mobility in burn patients.
Question 2 of 5
A client returns to the clinic for follow-up treatment following a skin biopsy of a suspicious lesion performed one (1) week ago. The biopsy report indicates that the lesion is a melanoma. The nurse understands that which of the following describes a characteristic of this type of a lesion?
Correct Answer: B
Rationale: Melanoma is aggressive and highly metastatic, often spreading to other parts of the body if untreated.
Question 3 of 5
A child presents to the emergency department with cutaneous manifestations of an allergic response. Which nursing diagnosis takes priority?
Correct Answer: D
Rationale: Usually, actual nursing diagnoses take priority over risk for diagnoses, but in this case, risk for impaired airway is the priority. The childs airway can quickly become compromised due to laryngeal edema.
Question 4 of 5
A nurse has assessed the skin of a newborn with the AWHONN Neonatal Skin Condition Score Tool and determines that her patient has a score of 3. What action by the nurse is most appropriate?
Correct Answer: A
Rationale: This is a perfect score using this tool. The nurse should document the findings and continue to monitor per agency protocol.
Question 5 of 5
Which client should the nurse use caution with when applying mafenide acetate to a burned area?
Correct Answer: B
Rationale: Mafenide acetate (Sulfamylon) impairs renal buffering, increasing bicarbonate excretion and requiring pulmonary compensation. In COPD, this compensation may fail, leading to metabolic acidosis, necessitating caution. Normal creatinine, good oxygenation, and diabetes do not pose specific risks.