ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed as a:
Correct Answer: B
Rationale: Stage 2 pressure injuries appear as a shallow open injury, usually shiny or dry, with a red-pink wound bed without slough.
Question 2 of 5
The nurse is caring for a burn patient. Which action best prevents contractures?
Correct Answer: A
Rationale: While each of these interventions is important for management of the patient with burns, only ambulation works to prevent contractures. Other interventions address pain management, adequate hydration, and adequate nutritional intake.
Question 3 of 5
A client sustains a burn injury to the entire right arm, entire right leg, and anterior thorax. According to the rule of nine's the nurse determines that what body percent was injured?
Correct Answer: B
Rationale: Per the Rule of Nines: right arm = 9%, right leg = 18%, anterior thorax = 18%. Total = 9 + 18 + 18 = 45%.
Question 4 of 5
A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and lifethreatening dysfunctions have been addressed, the nurse reviews the physician's orders anticipating that which pain medication will be prescribed?
Correct Answer: A
Rationale: IV morphine is preferred for severe burn pain due to rapid onset and ability to titrate in an emergency setting.
Question 5 of 5
A client with a major burn is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?
Correct Answer: B
Rationale: IV analgesics (e.g., morphine) are preferred for major burns due to rapid onset and altered absorption in other routes.