ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
When taking the health history for a patient, the nurse discovers that the patient works as a roofer. The nurse will plan to teach the patient about how to self-assess for clinical manifestations of
Correct Answer: D
Rationale: A patient who works as a roofer is at risk for integumentary lesions caused by sun exposure such as wrinkling, melanoma, telangiectasia, and actinic keratoses. Alopecia and intertrigo are not associated with excessive sun exposure. Melanoma is the most concerning condition among the options provided.
Question 2 of 5
The nurse is caring for a burn-injured patient who weighs 154 pounds, and the burn injury covers 50% of his body surface area. The nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 mL/kg/% burn of intravenous(IV) fluid for the first 24 hours. The nurse plans to administer what amount of fluid in the first 24 hours?
Correct Answer: C
Rationale: 154 pounds/2.2= 70 kg; 4 × 70 kg × 50= 14,000 mL, or 14 liters.
Question 3 of 5
The nurse notices small purplish dots on the abdomen of a patient. Which statement should the nurse use to document the finding?
Correct Answer: D
Rationale: Petechiae are small reddish purple hemorrhagic spots, smaller than 0.5 mm in diameter. Ecchymosis is bruising. Erythema is redness. Purpura is bleeding into the skin.
Question 4 of 5
The nurse is assisting in the presentation of the skin for a group of senior citizens in the community center. Which normal change associated with aging should the nurse include?
Correct Answer: A
Rationale: In aging, fibroblasts die, reducing dermal repair capacity, while fat decreases and glands become less active.
Question 5 of 5
A nurse is planning the care of an older adult patient who will soon be discharged home after treatment for a fractured hip. In an effort to prevent future fractures, what should the nurse encourage?
Correct Answer: A
Rationale: Health promotion measures after an older adult's hip fracture include weight-bearing exercise, promotion of a healthy diet, falls prevention, and bone density testing. Corticosteroids have the potential to reduce bone density and increase the risk for fractures.