ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is providing teaching to parents about urinary tract infections (UTIs) in preschool children. The nurse should inform the parents that which of the following are common symptoms of UTI in this age group? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Urinary urgency. In preschool children, common symptoms of UTI include urinary urgency due to the irritation of the bladder lining by the infection. Elevated blood pressure is not a common symptom of UTI in this age group. Dysuria, or painful urination, can also be a symptom but is less common in preschool children. Fever is a common symptom of UTI, but it is not specific to this age group as it can occur in various infections. Therefore, the most specific and common symptom of UTI in preschool children is urinary urgency.
Question 2 of 5
Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?
Correct Answer: C
Rationale: The correct answer is C because skin wrinkling with tenting on both hands in an older patient with bacterial pneumonia is concerning for dehydration. Dehydration can exacerbate the pneumonia and lead to complications. Skin turgor is a key indicator of hydration status. Brown macules, allergic rashes, longitudinal nail ridges, and sparse scalp hair are not directly related to dehydration or bacterial pneumonia in this context. Brown macules may be age-related skin changes, allergic rashes indicate hypersensitivity reactions, longitudinal nail ridges can be a normal part of aging, and sparse scalp hair could be due to various factors unrelated to the pneumonia.
Question 3 of 5
Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
Correct Answer: C
Rationale: The correct answer is C, petechiae on the chest and abdomen. Petechiae are small pinpoint hemorrhages that can indicate a serious underlying medical condition such as thrombocytopenia or a bleeding disorder. It is important to discuss this immediately with the healthcare provider to determine the cause and initiate appropriate treatment. A: Dry, scaly patches on the face are likely related to skin issues and can be addressed during a routine dermatology visit. B: Numerous varicosities on both legs are common in older individuals and usually do not require urgent attention unless causing pain or other complications. D: Small dilated blood vessels on the face are typically cosmetic concerns and not urgent unless they are causing discomfort or affecting vision.
Question 4 of 5
A teenaged male patient who is on a wrestling team is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
Correct Answer: B
Rationale: The correct answer is B because papular, wheal-like lesions with white deposits on the hair shaft are characteristic of pediculosis (lice infestation). The white deposits are lice eggs (nits) attached to the hair shaft, indicating the presence of lice. This finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of lice. Sharing headgear can facilitate the transmission of lice from one person to another. Choice A is incorrect as ring-like rashes with red, scaly borders over the entire scalp are more indicative of ringworm (tinea capitis), a fungal infection, not pediculosis. Choice C is incorrect as patchy areas of alopecia with small vesicles and excoriated areas are more indicative of scalp folliculitis or herpes zoster, not pediculosis. Choice D is incorrect as red, hive-like papules and plaques with sharply circumscribed borders are
Question 5 of 5
An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?
Correct Answer: D
Rationale: The correct answer is D: Teach the use of cold packs to reduce bruising and swelling. Cold packs can help reduce inflammation, bruising, and swelling after a surgical procedure like Mohs surgery. This promotes healing and comfort for the patient. A: Scheduling daily appointments for dressing changes is not necessary for a post-Mohs procedure care plan as the dressing changes are typically done less frequently. B: Describing the use of topical fluorouracil is not relevant in the postoperative care of a patient who had a Mohs procedure as it is used for treating precancerous skin lesions, not for postoperative wound care. C: Teaching sterile technique to clean the suture line is important, but it is not the immediate priority in the postoperative care of a patient who had a Mohs procedure.