ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
The nurse is bathing a patient with poison ivy. Which action is most appropriate?
Correct Answer: D
Rationale: Patting the skin dry will decrease irritation and will not break vesicles. Heat (both water and room temperatures) will exacerbate itching. Vesicles should not be covered with dressings.
Question 2 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?
Correct Answer: A
Rationale: Partial-thickness superficial burns (first-degree) involve the epidermis, resulting in a wet, shiny, weeping surface due to inflammation and fluid leakage.
Question 3 of 5
A community health nurse is providing a teaching session to firefighters in a small community regarding care to a victim at the scene of a burn injury. The community health nurse instructs the firefighters that in the event of a tar burn the immediate action would be to:
Correct Answer: A
Rationale: Cooling with water solidifies hot tar and reduces further thermal injury without removing it immediately.
Question 4 of 5
A nurse caring for a client who sustained a high-voltage electrical injury analyzes the client's test results. Which finding would the nurse interpret as increasing the client's risk of developing acute tubular necrosis?
Correct Answer: A
Rationale: Myoglobinuria from muscle damage in electrical injuries can obstruct renal tubules, leading to acute tubular necrosis.
Question 5 of 5
A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning?
Correct Answer: B
Rationale: Cellular changes associated with aging include thinning at the junction of the dermis and epidermis, which creates a risk for shearing injuries. Moisturizing lotions can be safely used to address the increased dryness of older adults' skin.