ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which question should the nurse ask when assessing the client for an endocrine dysfunction?
Correct Answer: B
Rationale: Unexplained weight loss can indicate endocrine disorders like hyperthyroidism or diabetes.
Question 2 of 5
The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated with NPH and regular insulin. Which manifestation would alert the nurse to the presence of a possible hypoglycemic reaction?
Correct Answer: A
Rationale: Tremors are a common sign of hypoglycemia due to neuroglycopenia and sympathetic activation, unlike hot, dry skin, which is more typical of hyperglycemia or ketoacidosis.
Question 3 of 5
The nurse takes into consideration that carbon monoxide intoxication secondary to smoke inhalation is often fatal because carbon monoxide:
Correct Answer: A
Rationale: Carbon monoxide poisoning is likely if the patient has been in an enclosed area. Carbon monoxide displaces oxygen by binding with hemoglobin.
Question 4 of 5
During the emergent phase of burn management, what is the first responder's first intervention?
Correct Answer: C
Rationale: The primary concern is to stop the burning process, arrest skin damage, provide an open airway, control any bleeding, prevent infection by covering with a clean cloth, and obtain medical help by transporting to the nearest hospital.
Question 5 of 5
The nurse is caring for a patient with a stage III pressure ulcer that is not healing. Which statement accurately describes the goal of electrical stimulation of the pressure ulcer?
Correct Answer: B
Rationale: The electrical stimulation will increase blood supply by stimulating vessel growth. The voltage unit will not cleanse the wound, cause scabbing, or coagulation of drainage.