ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client's buttocks, heels, and scapulae. Which action should the nurse take next?
Correct Answer: C
Rationale: Bottoming out, as evidenced by deep imprints, indicates that this device is not appropriate, and a different device should be implemented to prevent pressure ulcer formation.
Question 2 of 5
A nurse teaches a client being treated for a full-thickness burn. Which statement should the nurse include in this client's discharge teaching?
Correct Answer: C
Rationale: Teaching dressing changes is critical for independence post-discharge.
Question 3 of 5
During assessment of the patients skin, the nurse observes a similar pattern of small, raised lesions on the left and right upper back areas. Which term should the nurse use to document these lesions?
Correct Answer: D
Rationale: The description of the lesions indicates that they are grouped. The other terms are inconsistent with the description of the lesions.
Question 4 of 5
An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?
Correct Answer: D
Rationale: Application of cold packs to the incision after the surgery will help decrease bruising and swelling at the site. Since the Mohs procedure results in complete excision of the lesion, topical fluorouracil is not needed after surgery. After the Mohs procedure the edges of the wound can be left open to heal or the edges can be approximated and sutured together. The suture line can be cleaned with tap water. No debridement with wet-to-dry dressings is indicated.
Question 5 of 5
The nurse is caring for a client who has developed stage IV pressure ulcers on the left trochanter and coccyx. Which collaborative problem has the highest priority?
Correct Answer: B
Rationale: Altered nutrition is priority in stage IV pressure ulcers, as adequate protein and vitamins are essential for wound healing.