ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
The nurse making the initial assessment of a burned patient in the emergency room observes that the entire right arm (anterior and posterior), right anterior leg, chest, and abdomen are covered with reddened skin and blisters. Using the Rule of Nines, the nurse estimates the percentage of burn to be
Correct Answer: C
Rationale: Anterior and posterior arm are 9%, anterior leg = 9%, chest = 9%, abdomen = 9%. Total 36%.
Question 2 of 5
A nurse assesses the carbon monoxide level of a client following a burn injury and notes that the level is 8%. Based on this level, which finding would the nurse expect to note during the assessment of the client?
Correct Answer: A
Rationale: A carbon monoxide level of 8% is mild (<10%) and may cause tachycardia as the body compensates for reduced oxygen-carrying capacity.
Question 3 of 5
A community health nurse has provided fire safety instructions to a group of individuals who are part of a disaster response team. Which statement by a group member indicates a need for further instructions?
Correct Answer: D
Rationale: Standing allows flames to rise and spread; stopping, dropping, and rolling or smothering are correct responses.
Question 4 of 5
A client with severe psoriasis has a nursing diagnosis of Chronic Low SelfEsteem. The nurse uses which therapeutic strategy when working with this client?
Correct Answer: A
Rationale: Listening attentively fosters trust and supports self-esteem by validating the client's feelings.
Question 5 of 5
A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patients chest. The nurse should ask what priority question regarding the presence of a reddened rash?
Correct Answer: B
Rationale: The nurse should suspect an allergic reaction to the antibiotic therapy. Allergies can be a significant threat to the patient's immediate health, thus questions addressing this possibility would be prioritized over those addressing sensation.