ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test?
Correct Answer: D
Rationale: A culture of the lesion confirms the presence of varicella-zoster virus, definitively diagnosing herpes zoster.
Question 2 of 5
A student nurse is caring for an adolescent with frostbite of the hand in the emergency department. Which action by the student would require the registered nurse to intervene?
Correct Answer: C
Rationale: A frostbitten area is never rubbed or massaged, as the ice crystals in the capillaries will damage the tissue when they break out of the vascular beds.
Question 3 of 5
The nurse is discussing the application of silver nitrate to a client diagnosed with a partial-thickness burn to the left leg. Which information should the nurse teach the client when discussing how to apply this medication after discharge?
Correct Answer: C
Rationale: Silver nitrate is a topical antimicrobial used as a 0.5% solution in distilled water and should be applied to the bulky gauze dressing every 2 hours, with the dressing changed twice a day. Direct ointment application is incorrect, black discoloration is expected and not a concern, and the client must be taught to change the dressing themselves.
Question 4 of 5
Which medication should the nurse administer first on a medical unit?
Correct Answer: B
Rationale: Hydroxyzine relieves itching (a comfort issue), taking priority over non-urgent conditions like tinea corporis, herpes zoster, and acne, which aren't immediately distressing.
Question 5 of 5
Which task should the nurse delegate to the unlicensed assistive personnel (UAP) for a client experiencing pruritus?
Correct Answer: B
Rationale: UAP can place mittens to prevent scratching. Turning/breathing doesn't address pruritus, medication administration can't be delegated, and lotion application is possible but mittens directly address scratching.