ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
The nurse is discussing the application of silver nitrate to a client diagnosed with a partial-thickness burn to the left leg. Which information should the nurse teach the client when discussing how to apply this medication after discharge?
Correct Answer: C
Rationale: Silver nitrate is a topical antimicrobial used as a 0.5% solution in distilled water and should be applied to the bulky gauze dressing every 2 hours, with the dressing changed twice a day. Direct ointment application is incorrect, black discoloration is expected and not a concern, and the client must be taught to change the dressing themselves.
Question 2 of 5
Which task should the nurse delegate to the unlicensed assistive personnel (UAP) for a client experiencing pruritus?
Correct Answer: B
Rationale: UAP can place mittens to prevent scratching. Turning/breathing doesn't address pruritus, medication administration can't be delegated, and lotion application is possible but mittens directly address scratching.
Question 3 of 5
Which type of capillary hemangioma is described by the following: this is where a port-wine stain capillary hemangioma is seen on the face, with segmental distribution, corresponding to the cutaneous branches of the trigeminal nerve. It may be associated with angiomas of the cerebral pia–arachnoid, which may manifest themselves by focal epileptic attacks
Correct Answer: B
Rationale: Sturge-Weber syndrome includes facial port-wine stains and possible association with cerebral angiomas.
Question 4 of 5
The term pruritus refers to:
Correct Answer: D
Rationale: Pruritus refers to itching, a common symptom of various dermatologic conditions.
Question 5 of 5
Which of the following are signs of a tension pneumothorax?
Correct Answer: A
Rationale: Dyspnea is a sign of tension pneumothorax.