ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Nurse Sierra is assessing the skin of a client suffering from psoriasis. She understands that which characteristic is associated with this skin disorder?
Correct Answer: A
Rationale: Psoriasis is characterized by silvery-white scales over red plaques, commonly on the scalp, elbows, knees, and sacral area.
Question 2 of 5
A burned patient had an escharotomy on the right anterior thigh. Which assessment finding indicates that this procedure has been effective?
Correct Answer: D
Rationale: An escharotomy is performed when eschar impedes circulation. Strong and equal pedal pulses indicate return of circulation.
Question 3 of 5
The emergency department nurse knows that which type of bite has the highest risk of infection?
Correct Answer: C
Rationale: Human bites have the highest infection risk due to the diverse and virulent bacteria in the human mouth, such as Streptococcus and Staphylococcus species, often requiring antibiotics and close monitoring.
Question 4 of 5
Which intervention should the nurse implement first when applying a DermaDress dressing to a client diagnosed with a stage 2 pressure ulcer on the coccyx?
Correct Answer: A
Rationale: The first step is to clean the wound with DermaKlenz, followed by removing the backing, applying the dressing, and securing it (in that order: 3, 2, 4, 1).
Question 5 of 5
The client has a diagnosis of second- and third-degree burns to 40% of the body. The HCP writes an order for 9,000 mL of fluid to be infused over the next 24 hours, with half in the first 8 hours. What rate would the nurse set the IV pump for the first 8 hours?
Correct Answer: B
Rationale: Total fluid: 9,000 mL; half (4,500 mL) in 8 hours = 4,500 ÷ 8 = 562.5 mL/hr, rounded to 563 mL/hr. This aligns with burn resuscitation formulas.