ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
Correct Answer: D
Rationale: The correct answer is D: pain intensity. In Paget's disease, bone pain is a common symptom. Monitoring pain intensity helps assess the effectiveness of treatment. Changes in pain levels can indicate disease progression or response to medication. Oral intake (A), daily weight (B), and grip strength (C) are not direct indicators of Paget's disease progression or treatment effectiveness. Pain intensity is a key factor in evaluating the patient's response to calcitonin and ibandronate therapy.
Question 2 of 5
Which of the following disorders of the skin is most likely to respond to treatment with systemic antibiotics?
Correct Answer: A
Rationale: The correct answer is A: Acne vulgaris. Acne vulgaris is a skin disorder caused by bacterial overgrowth in hair follicles. Systemic antibiotics can target the bacteria and reduce inflammation, leading to improvement. Urticaria, atopic dermatitis, and verrucae are not primarily caused by bacterial infections, so systemic antibiotics would not be the first-line treatment for these conditions. Urticaria is usually treated with antihistamines, atopic dermatitis with topical corticosteroids, and verrucae with various topical treatments or procedures.
Question 3 of 5
A 44-year-old man has been brought to the emergency department with severe electrical burns resulting from a workplace accident. The most immediate threat to this client's survival at this time is:
Correct Answer: B
Rationale: The correct answer is B: Hemodynamic instability. In severe electrical burns, the most immediate threat is hemodynamic instability due to fluid shifts and potential cardiac arrhythmias. This can lead to shock and organ failure. Addressing hemodynamic stability is crucial to prevent further complications. Choice A: Infection is a concern in burn injuries but is not the most immediate threat to survival in this case. Choice C: Acute pain is important to manage but does not pose an immediate threat to survival. Choice D: Decreased protein synthesis and impaired healing are long-term consequences of burns and not the most immediate threat to survival in this scenario.
Question 4 of 5
A 5-year-old girl has been presented for care by her father due to her recent development of macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her primary symptom is extreme pruritus. What disorder of the skin should the clinician who is assessing the child first suspect?
Correct Answer: A
Rationale: The correct answer is A: Varicella. The presentation of macules on the trunk, extremities, and mucous membranes along with extreme pruritus and mild fever is classic for varicella (chickenpox). Varicella is a common childhood viral infection caused by the varicella-zoster virus. The initial macules progress to vesicles and then crust over. The child's age, distribution of skin lesions, and symptoms all point towards varicella. Lichen planus (B) typically presents as purple, itchy, flat-topped papules. Rosacea (C) is a chronic skin condition characterized by facial redness and acne-like bumps. Impetigo (D) is a bacterial skin infection that typically presents with honey-colored crusts and blisters.
Question 5 of 5
Which factor contributes to pressure injury formation when patient's body slides downward to the foot of the bed?
Correct Answer: D
Rationale: Shearing force' drives pressure injury when a patient slides down in bed, per Potter's *Essentials*. Shear occurs as skin sticks to sheets while bones slide e.g., elevating head 30° pulls skeleton down 10 cm tearing capillaries, unlike 'momentum' , motion's force e.g., a rolling ball, not skin-specific. 'Acceleration' is speed gain e.g., falling, not sliding. 'Applied force' is generic e.g., pushing, not shear's dual-plane action. A nurse sees e.g., sacral redness after 2 hours shear's friction (e.g., 40% of bedbound cases), needing repositioning. Potter notes gravity's pull against stationary skin doubles injury risk vs. pressure alone, a reduction-of-risk focus. is the correct, mechanistic factor.