ATI LPN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse assesses a circular, flat, reddened lesion about 5 cm in diameter on a middle-aged patients ankle. How should the nurse determine if the lesion is related to intradermal bleeding?
Correct Answer: B
Rationale: If the lesion is caused by intradermal or subcutaneous bleeding or a nonvascular cause, the discoloration will remain when direct pressure is applied to the lesion. If the lesion is caused by blood vessel dilation, blanching will occur with direct pressure. The other assessments will assess circulation to the leg, but will not be helpful in determining the etiology of the lesion.
Question 2 of 5
Which nursing intervention should be included for the client who has full-thickness and deep partial-thickness burns to 50% of the body?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is caring for a client diagnosed with squamous cell skin cancer and writes a psychosocial problem of 'fear.' Which nursing intervention should be included in the plan of care?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse administered morphine sulfate, a narcotic analgesic, IVP 45 minutes ago to a client diagnosed with herpes zoster. On reassessment, the client complains the pain is at a '5' on a 1-to-10 scale. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which laboratory test should the nurse monitor to identify an allergic reaction for the client diagnosed with contact dermatitis?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.