ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 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.
Question 2 of 5
Which of the following statements are correct regarding subungual exostosis?
Correct Answer: A
Rationale: Subungual exostosis most commonly affects the fifth toe.
Question 3 of 5
The procedures, techniques and principles of cosmetic surgery concentrate on:
Correct Answer: D
Rationale: Cosmetic surgery focuses on enhancing a person's appearance.
Question 4 of 5
During a routine physical examination for a 52-year-old Caucasian male, the client declines to have his prostate gland examined. He states he does not have a family history and does not feel he is at risk. What initial response by the nurse is most appropriate?
Correct Answer: C
Rationale: The need for prostate screening begins at age 50. Individuals with risk factors should begin screening at age 45. The client's age places him at an increased risk, so he should begin the screening process. While the client may refuse any testing, this does not allow the client to engage in secondary levels of prevention. The client's refusal should be recorded but not used as coercion.
Question 5 of 5
A client reports a pain level of 6 on a 0-10 pain scale. The nurse offers to review the orders for additional pain medication. The client states 'I really don't want to take any more pain medication, because I am afraid I will become addicted.' The nurse's response should focus on which concept?
Correct Answer: A
Rationale: Clients might fear physical dependence on pain medications, especially opioids, postoperatively. The duration of use is typically short-term, and this concern should be discussed as it is not anticipated to occur.