ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac tamponade. Which observation would indicate that the procedure was effective?
Correct Answer: B
Rationale: Relieving tamponade improves cardiac output, raising BP.
Question 2 of 5
A nurse arrives at an accident scene where the victim has just received an electrical burn. What is the nurse's primary concern?
Correct Answer: C
Rationale: Most electrical burns result in cardiac arrest, and the patient will require CPR or acute cardiac monitoring.
Question 3 of 5
What is the last intervention for a hospitalized severely burned victim during the emergent phase?
Correct Answer: A
Rationale: The priority of care should proceed from the establishment of an airway, initiation of fluid therapy, insertion of Foley and NG tube, administration of analgesics, and tetanus prophylaxis.
Question 4 of 5
In caring for a stage IV pressure ulcer, the nurse assesses creamy yellow drainage with a necrotic odor. Which type of bacteria most likely causes this exudate?
Correct Answer: C
Rationale: Creamy yellow drainage is usually caused by Staphylococcus infections. Proteus is associated with a beige discharge having a fishy odor. Brown discharge having a fecal odor is seen in Bacteroides. Pseudomonas-containing wounds produce a green-blue discharge with a fruity odor.
Question 5 of 5
The nurse describes several types of burn treatment. Which statement best describes the closed technique?
Correct Answer: C
Rationale: The closed technique involves covering the wound with ointment and gauze saturated with medication.