ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
The hospice nurse is working with the family of a 30-year-old client who is dying. The client voices concerns about how her death will be perceived by her 7-year-old child. What advice from the nurse would be most beneficial?
Correct Answer: B
Rationale: Children at age 7 understand the finality of death. This knowledge can help the client address her child's perception appropriately.
Question 2 of 5
A client recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should be given to the client?
Correct Answer: D
Rationale: Lesions should be kept clean and dry with gentle soap and water. Alcohol burns, and nylon retains moisture, worsening discomfort.
Question 3 of 5
Which finding requires immediate referral when a nurse assesses an older adult's skin?
Correct Answer: B
Rationale: The lesion with various colors fits one of the American Cancer Society hallmark signs for cancer according to the ABCD method (color variation). This requires immediate referral.
Question 4 of 5
A nurse assesses a wife who is caring for her husband with a Braden Scale score of 9. Which question should the nurse include in this assessment?
Correct Answer: B
Rationale: A Braden Scale score of 9 indicates high risk for skin breakdown; assessing the caregiver's coping is crucial.
Question 5 of 5
A nurse assesses a client who has burn injuries and notes crackles in bilateral lung bases, a respiratory rate of 40 breaths/min, and a productive cough with blood-tinged sputum. Which action should the nurse take next?
Correct Answer: D
Rationale: Pulmonary edema from fluid resuscitation can be relieved by placing the client upright.