ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
The nurse is caring for a client who has developed stage IV pressure ulcers on the left trochanter and coccyx. Which collaborative problem has the highest priority?
Correct Answer: B
Rationale: Altered nutrition is priority in stage IV pressure ulcers, as adequate protein and vitamins are essential for wound healing.
Question 2 of 5
The 55-year-old client contracted chickenpox from his grandchild. The client had to be hospitalized because of the seriousness of the condition. Which complication is the client at risk for developing secondary to chickenpox?
Correct Answer: B
Rationale: Varicella pneumonia is a serious complication of chickenpox, especially in adults, due to viral spread to the lungs.
Question 3 of 5
The nurse is preparing the plan of care for a client diagnosed with Stevens-Johnson syndrome. Which intervention should the nurse include?
Correct Answer: C
Rationale: Frequent assessment of skin lesions is critical in Stevens-Johnson syndrome due to its rapid progression.
Question 4 of 5
An adult client was burned in an explosion. The burn initially affected the client's entire face (anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both arms. The client's clothes caught on fire, and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso. Using the rule of nines, what would be the extent of the burn injury?
Correct Answer: D
Rationale: Face (4.5%) + upper anterior torso (9%) + lower arms (9%) + posterior head (4.5%) + upper posterior torso (9%) = 36%, adjusted to 48% with circumferential consideration.
Question 5 of 5
Which client should be assessed first?
Correct Answer: C
Rationale: Fever and tachycardia may indicate an infection requiring prompt attention.