ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
The nurse in an ambulatory care center is admitting an older adult patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what?
Correct Answer: A
Rationale: Cherry angiomas appear as bright red moles, while solar lentigo are commonly called liver spots. Seborrheic keratoses are described as crusty brown stuck-on patches, while xanthelasma appears as yellowish, waxy deposits on the upper eyelids.
Question 2 of 5
The nurse is caring for patient who has been struck by lightning. Because of the nature of the injury, the nurse assesses the patient for which of the following?
Correct Answer: A
Rationale: Lightning injury frequently causes cardiopulmonary arrest. However, of those patients who survive, 70% will have transient central nervous system deficits. Contractures, infection, and stress ulcer risks are no greater than with other causes of burn injury.
Question 3 of 5
While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other area should the nurse assess to confirm presence of jaundice?
Correct Answer: A
Rationale: Although skin is affected by jaundice, the best place to inspect for jaundice is in the sclera of the eye. The best places to inspect for cyanosis are the lips, nail beds, conjunctivae, and palms.
Question 4 of 5
A patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan?
Correct Answer: B
Rationale: The nurse should include monitoring for sufficient blood supply by assessing the color, temperature, and pulses of the affected extremity. Weight-bearing exercises are encouraged, but passive ROM exercises have the potential to cause pain and inhibit healing. Corticosteroids, vitamin D, and calcium are not normally administered.
Question 5 of 5
An elite high school football player has been diagnosed with a shoulder dislocation. The patient has been treated and is eager to resume his role on his team, stating that he is not experiencing pain. What should the nurse emphasize during health education?
Correct Answer: B
Rationale: Patients who have experienced sports-related injuries are often highly motivated to return to their previous level of activity. Adherence to restriction of activities and gradual resumption of activities needs to be reinforced. Appropriate analgesia use must be encouraged, but analgesia does not necessarily have to be taken in the absence of pain. If healing is complete, the patient does not likely have a greatly increased risk of reinjury. Dislocations rarely cause bleeding after the healing process.