ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
An older patient says that sunlight has always been avoided because of the risk for developing skin cancer. Which function of the skin has been most affected by this patient's practice?
Correct Answer: C
Rationale: Avoiding sunlight reduces the skin's ability to synthesize vitamin D, affecting vitamin D metabolism.
Question 5 of 5
A patient with several deep partial-thickness burns asks how long it will take for the burn to heal. What should the nurse respond to this patient?
Correct Answer: A
Rationale: Deep partial-thickness burns extend into the dermis and typically take more than two weeks to heal due to the depth of tissue damage.