ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound. The nurse's best response would be:
Correct Answer: C
Rationale: The autograft is the only permanent method of grafting and it uses the patient's own tissue to cover the burn wound. Autografting is permanent and does not require a second surgery unless the graft fails. A biological or biosynthetic graft or dressing is a temporary wound covering. A xenograft is from an animal, usually pig skin and is a temporary graft.
Question 2 of 5
A patient has lost all hair over the head, face, and neck from a house fire. What should the nurse do to help the patient since the protective function of the hair has been lost?
Correct Answer: B
Rationale: Hair protects eyes from dust and sweat; its loss necessitates eye protection.
Question 3 of 5
An emergency department patient is diagnosed with a hip dislocation. The patient's family is relieved that the patient has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?
Correct Answer: D
Rationale: If a dislocation or subluxation is not reduced immediately, avascular necrosis (AVN) may develop. Bone remodeling does not take place because a fracture has not occurred. Realignment does not become more difficult with time and pain would subside with time, not become worse.
Question 4 of 5
A patient asks why it takes so long for fingernails to grow. How should the nurse respond to this patient?
Correct Answer: B
Rationale: Nails grow slowly but continuously throughout life, which explains why it takes time for them to grow.
Question 5 of 5
It is documented that a patient has superficial partial-thickness burns over both anterior lower arms. What should the nurse expect when assessing this patient?
Correct Answer: D
Rationale: Superficial partial-thickness burns involve the epidermis and part of the dermis, typically presenting with blisters, mild edema, and blanching due to preserved capillary refill.