ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is reviewing the healthcare record of a male client scheduled to be seen at the health care clinic. The nurse determines that which of the following individuals is at the greatest risk for development of an integumentary disorder?
Correct Answer: A
Rationale: Outdoor construction workers are at higher risk due to prolonged sun exposure, physical trauma, and environmental factors.
Question 2 of 5
An adolescent patient has acne characterized by pustules and scarring. Which teaching information is most appropriate for the nurse to give the patient and family?
Correct Answer: B
Rationale: Tetracycline, minocyline, and doxycycline all cause photosensitivity, so the nurse should warn the teen about sun exposure and use of tanning beds.
Question 3 of 5
A burned patient had an escharotomy on the right anterior thigh. Which assessment finding indicates that this procedure has been effective?
Correct Answer: D
Rationale: An escharotomy is performed when eschar impedes circulation. Strong and equal pedal pulses indicate return of circulation.
Question 4 of 5
The emergency department nurse knows that which type of bite has the highest risk of infection?
Correct Answer: C
Rationale: Human bites have the highest infection risk due to the diverse and virulent bacteria in the human mouth, such as Streptococcus and Staphylococcus species, often requiring antibiotics and close monitoring.
Question 5 of 5
Which intervention should the nurse implement first when applying a DermaDress dressing to a client diagnosed with a stage 2 pressure ulcer on the coccyx?
Correct Answer: A
Rationale: The first step is to clean the wound with DermaKlenz, followed by removing the backing, applying the dressing, and securing it (in that order: 3, 2, 4, 1).