ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
The nurse is caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client has an intravenous (IV) infusion at a rate of 150 mL/hour, unchanged for the last 10 hours. The client's urine output for the last 3 hours has been 90, 50, and 28 mL (28 mL is most recent). The client's blood urea nitrogen level is 35 mg/dL and the serum creatinine level is 1.8 mg / dL, measured this morning. Which nursing action is the priority?
Correct Answer: B
Rationale: Decreasing urine output and elevated BUN/creatinine suggest renal compromise, requiring HCP notification.
Question 2 of 5
A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is:
Correct Answer: D
Rationale: Infection is the most common complication and cause of death after the first 72 hours.
Question 3 of 5
Which of the following is a major function of the skin?
Correct Answer: C
Rationale: Functions of the skin include protection from the environment, temperature regulation, prevention of dehydration, excretion of waste products, and vitamin D synthesis (not C). This question was restructured from a multiple-response format to focus on a key function, with temperature regulation selected as a representative correct answer.
Question 4 of 5
Which symptom is consistent with an inhalation burn?
Correct Answer: D
Rationale: Persistent coughing, particularly if black mucus is coughed up, is an indicator of an inhalation burn.
Question 5 of 5
The nurse describes several types of burn treatment. Which statement best describes a xenograft?
Correct Answer: D
Rationale: A xenograft is a biologic dressing sourced from pig skin.