ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
What action can a nurse take to reduce biases in nurse-client interactions?
Correct Answer: C
Rationale: Bias reduction requires self-awareness. Reflecting on how background influences perception , per Campinha-Bacote's model, helps nurses identify and counter biases (e.g., stereotypes about pain tolerance), improving care equity. Past encounters reinforce stereotypes. Explaining values shifts focus to the nurse. Limiting interactions avoids growth. Reflection aligns with cultural humility, actively reducing unfair treatment, making this the correct action for nurses to take.
Question 2 of 5
A hospital is struggling to improve patient satisfaction/HCAPS scores... The best approach is to
Correct Answer: C
Rationale: Engagement seeks solutions. Suggesting alternatives to your supervisor , per the test, opens dialogue for better strategies (e.g., workflow fixes), addressing burnout collaboratively. Silence avoids change. Complaints delegate. CEO talks bypass command. This balances voice and action, making it the correct approach.
Question 3 of 5
A nurse is caring for a client with bacterial pneumonia and a temperature of 104°F (40.0°C). Yesterday, the client's temperature was 102°F (38.9°C). The health care provider on call prescribes cool compresses for the client to help lower the fever. The client insists that the nurse bring warm blankets because they will help the client to recover more quickly. The nurse recognizes that the client's request is an example of:
Correct Answer: A
Rationale: Client beliefs reflect culture. Requesting warm blankets is a ritual, per nursing texts, possibly tied to traditional healing (e.g., sweating out illness). Stereotyping is nurse assumption, not client action. Competence is nurse skill. No Choice D exists. This cultural ritual guides respectful care, making it correct.
Question 4 of 5
The nurse is preparing to provide wound care to a client with a stage 1 pressure injury. Which dressing would the nurse expect to be prescribed in the treatment of this wound?
Correct Answer: B
Rationale: Stage 1 injuries are intact. Transparent dressing , per Braden Scale care, protects non-open skin (red, no breakdown) while allowing monitoring. Hydrogel adds moisture for open wounds. Antimicrobial targets infection, unneeded here. Alginate suits heavy drainage. Transparency preserves integrity and prevents progression, making it the expected choice.
Question 5 of 5
A client is admitted with a burn injury that involves the epidermis and part of the dermis. The nurse knows that this type of burn is classified as:
Correct Answer: B
Rationale: A burn involving the epidermis and part of the dermis is classified as a partial-thickness burn, making choice B the correct answer. This type of burn typically presents with blisters, significant pain due to exposed nerve endings, and redness as blood vessels in the dermis are affected. It may heal spontaneously within two to three weeks with proper care or require skin grafting if deeper layers are involved. Superficial burns only affect the epidermis, causing mild pain and erythema without blisters, and heal quickly within days without scarring. Full-thickness burns extend through the epidermis, dermis, and into underlying tissues like fat or muscle, resulting in a charred appearance, no pain due to nerve destruction, and the need for surgical intervention. Deep partial-thickness burns involve most of the dermis, presenting with white or red skin and severe pain, often requiring grafting due to slower healing. The distinction lies in the depth of tissue involvement, and partial-thickness best matches the description provided.