ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
Correct Answer: A
Rationale: Elevated creatinine suggests renal damage, a complication of hyperparathyroidism from hypercalcemia.
Question 2 of 5
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety?
Correct Answer: B
Rationale: Conveying empathy, trust, and respect helps reduce anxiety by addressing the client's emotional needs effectively and safely, unlike sedation or ignoring the symptoms. Using medical terms may increase anxiety if the client is overwhelmed.
Question 3 of 5
A patient with severe eczema is starting a coal tar derivative treatment. What should the nurse include in the teaching plan for the patient relative to this treatment?
Correct Answer: B
Rationale: Persons using coal tar derivatives should avoid exposure to sunlight for 72 hours after use. The product stains clothes and bathroom fixtures.
Question 4 of 5
The nurse making the initial assessment of a burned patient in the emergency room observes that the entire right arm (anterior and posterior), right anterior leg, chest, and abdomen are covered with reddened skin and blisters. Using the Rule of Nines, the nurse estimates the percentage of burn to be
Correct Answer: C
Rationale: Anterior and posterior arm are 9%, anterior leg = 9%, chest = 9%, abdomen = 9%. Total 36%.
Question 5 of 5
The nurse is caring for a patient with a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
Correct Answer: A
Rationale: A stage III pressure ulcer presents as a crater-like ulcer and underlying subcutaneous tissue is involved in the destructive process. Skin that does not blanch with pressure or is mottled are findings consistent with a stage I pressure ulcer. Excoriation around the lesion is consistent with scratching or another abrasive force.