ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. How should the nurse correctly interpret the client's neurovascular status?
Correct Answer: A
Rationale: Warmth, redness, and edema with a palpable pulse suggest normal post-surgical increased blood flow.
Question 2 of 5
The nurse takes into consideration that carbon monoxide intoxication secondary to smoke inhalation is often fatal because carbon monoxide:
Correct Answer: A
Rationale: Carbon monoxide poisoning is likely if the patient has been in an enclosed area. Carbon monoxide displaces oxygen by binding with hemoglobin.
Question 3 of 5
During the emergent phase of burn management, what is the first responder's first intervention?
Correct Answer: C
Rationale: The primary concern is to stop the burning process, arrest skin damage, provide an open airway, control any bleeding, prevent infection by covering with a clean cloth, and obtain medical help by transporting to the nearest hospital.
Question 4 of 5
The nurse is caring for a patient with a stage III pressure ulcer that is not healing. Which statement accurately describes the goal of electrical stimulation of the pressure ulcer?
Correct Answer: B
Rationale: The electrical stimulation will increase blood supply by stimulating vessel growth. The voltage unit will not cleanse the wound, cause scabbing, or coagulation of drainage.
Question 5 of 5
The nurse describes several types of burn treatment. Which statement best describes an allograft?
Correct Answer: B
Rationale: An allograft is a biologic dressing sourced from human cadaver skin.