ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
Which discharge instructions should be included for a client with a traumatic left AKA? Select all that apply.
Correct Answer: A
Rationale: All listed except staying at home are appropriate for promoting recovery and adjustment.
Question 2 of 5
Which psychosocial problem should the nurse identify for a client with an external fixator device?
Correct Answer: B
Rationale: An external fixator can significantly alter body image due to its visible and invasive nature.
Question 3 of 5
The nurse is caring for a client who had an above-knee amputation 2 days ago. The residual limb was wrapped with an elastic compression bandage, which has come off. Which immediate action should the nurse take?
Correct Answer: C
Rationale: Rewrapping with an elastic compression bandage maintains pressure to reduce edema and shape the residual limb for prosthetic fitting, addressing the immediate need after the bandage comes off.
Question 4 of 5
The employee health nurse is teaching a class on 'Preventing Eye Injury.' Which information should be discussed in the class?
Correct Answer: A
Rationale: Reading instructions ensures proper use of tools and chemicals, a fundamental step in preventing eye injuries across various scenarios.
Question 5 of 5
Which assessment technique should the nurse implement when assessing the client's cranial nerves for vibration?
Correct Answer: B
Rationale: Placing a tuning fork on the big toe tests vibration sense (via cranial nerve VIII and peripheral nerves), a standard neurological assessment technique.