ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which of the following disorders of the skin is most likely to respond to treatment with systemic antibiotics?
Correct Answer: A
Rationale: The correct answer is A: Acne vulgaris. Acne vulgaris is a skin disorder caused by bacterial overgrowth in hair follicles. Systemic antibiotics can target the bacteria and reduce inflammation, leading to improvement. Urticaria, atopic dermatitis, and verrucae are not primarily caused by bacterial infections, so systemic antibiotics would not be the first-line treatment for these conditions. Urticaria is usually treated with antihistamines, atopic dermatitis with topical corticosteroids, and verrucae with various topical treatments or procedures.
Question 2 of 5
A 5-year-old girl has been presented for care by her father due to her recent development of macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her primary symptom is extreme pruritus. What disorder of the skin should the clinician who is assessing the child first suspect?
Correct Answer: A
Rationale: The correct answer is A: Varicella. The presentation of macules on the trunk, extremities, and mucous membranes along with extreme pruritus and mild fever is classic for varicella (chickenpox). Varicella is a common childhood viral infection caused by the varicella-zoster virus. The initial macules progress to vesicles and then crust over. The child's age, distribution of skin lesions, and symptoms all point towards varicella. Lichen planus (B) typically presents as purple, itchy, flat-topped papules. Rosacea (C) is a chronic skin condition characterized by facial redness and acne-like bumps. Impetigo (D) is a bacterial skin infection that typically presents with honey-colored crusts and blisters.
Question 3 of 5
Which factor contributes to pressure injury formation when patient's body slides downward to the foot of the bed?
Correct Answer: D
Rationale: Shearing force' drives pressure injury when a patient slides down in bed, per Potter's *Essentials*. Shear occurs as skin sticks to sheets while bones slide e.g., elevating head 30° pulls skeleton down 10 cm tearing capillaries, unlike 'momentum' , motion's force e.g., a rolling ball, not skin-specific. 'Acceleration' is speed gain e.g., falling, not sliding. 'Applied force' is generic e.g., pushing, not shear's dual-plane action. A nurse sees e.g., sacral redness after 2 hours shear's friction (e.g., 40% of bedbound cases), needing repositioning. Potter notes gravity's pull against stationary skin doubles injury risk vs. pressure alone, a reduction-of-risk focus. is the correct, mechanistic factor.
Question 4 of 5
Which is the first intervention of the nurse for changing the dressing to a painful burn?
Correct Answer: A
Rationale: For a painful burn dressing change, 'administer pain medication 30 minutes beforehand' is first, per Potter's *Essentials*. Analgesia e.g., morphine 5 mg peaks in 30 minutes, cutting pain (e.g., 8/10 to 3/10), unlike 'irrigate' , second e.g., after comfort. 'Loosen tape' follows e.g., reduces pull, not pain itself. 'Observe' assesses e.g., later step. A nurse plans e.g., Meds at 0900, change at 0930' ensuring comfort (e.g., 80% report less distress), a basic care priority. Potter stresses preemptive pain control, making the correct, initial intervention.
Question 5 of 5
Which assessment charting indicates that the wound is healing by primary intention?
Correct Answer: A
Rationale: The 4-inch incision edges are well approximated with intact sutures' shows primary intention, per Potter's *Essentials*. Clean closure e.g., sutured within 6 hours heals fast e.g., 7 days unlike 'ulcer with slough' , secondary e.g., open, slow. 'Deep incision with granulation' is secondary e.g., fills in. 'Abrasion' is superficial e.g., not sutured. A nurse charts e.g., Edges tight' primary's 80% rate, per surgical norms, a physiological marker. Potter contrasts with secondary's gap, making the correct, primary sign.