ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?
Correct Answer: C
Rationale: The epidermis is the thickest over the palms of the hands and the soles of the feet.
Question 2 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 3 of 5
During report, the nurse is told that a patient 'has moderate jaundice.' Which assessment finding should the nurse expect to see?
Correct Answer: C
Rationale: Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. Cyanosis presents as a gray cast to the skin related to poor oxygenation. Erythema is red or purple gray. Pallor is paleness.
Question 4 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 5 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.