ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of most concern for the nurse?
Correct Answer: A
Rationale: Because the patient will be receiving antibiotics to treat the pneumonia, the nurse should be most concerned about her history of allergic rashes. The nurse needs to do further assessment of possible causes of the allergic rashes and whether she has ever had allergic reactions to any drugs, especially antibiotics. The assessment data in the other response would be normal for an older patient.
Question 2 of 5
The nurse writes the nursing diagnosis 'impaired skin integrity related to open burn wounds.' Which intervention would be appropriate for this nursing diagnosis?
Correct Answer: B
Rationale: Cleaning wounds daily directly addresses impaired skin integrity by preventing infection and promoting healing.
Question 3 of 5
The middle-aged client has had two (2) lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include?
Correct Answer: D
Rationale: Post-surgical site care prevents infection and promotes healing, a key discharge instruction.
Question 4 of 5
The client is diagnosed with herpes simplex 2 and prescribed the antiviral medication valacyclovir (Valtrex). Which instructions should the nurse teach?
Correct Answer: C
Rationale: Valacyclovir suppresses herpes simplex 2 symptoms but does not cure the viral infection.
Question 5 of 5
The nurse is teaching clients at a community center about skin diseases. Which information about pruritus should the nurse include?
Correct Answer: D
Rationale: Hydration with mild lotion helps relieve pruritus by maintaining skin moisture.