ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 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 2 of 5
An 82-year-old patient is being treated in the hospital for a sacral pressure ulcer. What age-related change is most likely to affect the patients course of treatment?
Correct Answer: D
Rationale: Wound healing becomes slower with age, requiring more time for older adults to recover from surgical and traumatic wounds.
Question 3 of 5
The nurse is caring for a burn-injured patient who weighs 154 pounds, and the burn injury covers 50% of his body surface area. The nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 mL/kg/% burn of intravenous(IV) fluid for the first 24 hours. The nurse plans to administer what amount of fluid in the first 24 hours?
Correct Answer: C
Rationale: 154 pounds/2.2= 70 kg; 4 × 70 kg × 50= 14,000 mL, or 14 liters.
Question 4 of 5
The nurse notices small purplish dots on the abdomen of a patient. Which statement should the nurse use to document the finding?
Correct Answer: D
Rationale: Petechiae are small reddish purple hemorrhagic spots, smaller than 0.5 mm in diameter. Ecchymosis is bruising. Erythema is redness. Purpura is bleeding into the skin.
Question 5 of 5
The nurse is assisting in the presentation of the skin for a group of senior citizens in the community center. Which normal change associated with aging should the nurse include?
Correct Answer: A
Rationale: In aging, fibroblasts die, reducing dermal repair capacity, while fat decreases and glands become less active.