ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
Which task should the nurse delegate to the unlicensed assistive personnel (UAP) for a client experiencing pruritus?
Correct Answer: B
Rationale: UAP can place mittens to prevent scratching. Turning/breathing doesn't address pruritus, medication administration can't be delegated, and lotion application is possible but mittens directly address scratching.
Question 2 of 5
The term pruritus refers to:
Correct Answer: D
Rationale: Pruritus refers to itching, a common symptom of various dermatologic conditions.
Question 3 of 5
Which of the following are signs of a tension pneumothorax?
Correct Answer: A
Rationale: Dyspnea is a sign of tension pneumothorax.
Question 4 of 5
A 75-year-old client seeks care at an ambulatory clinic. The client reports having experienced extreme drowsiness after recently taking dosages of an over-the-counter cold medication. When collecting data, the nurse notes the client reports taking only the prescribed amount of the preparation. What inferences can be made by the nurse concerning the events?
Correct Answer: C
Rationale: Older clients often experience altered responses to medications due to age-related changes in the kidneys and liver. There is no evidence the client has taken too much medication or is taking other medications. Allergic reactions typically manifest with integumentary- or respiratory-related symptoms.
Question 5 of 5
The hospice nurse is working with the family of a 30-year-old client who is dying. The client voices concerns about how her death will be perceived by her 7-year-old child. What advice from the nurse would be most beneficial?
Correct Answer: B
Rationale: Children at age 7 understand the finality of death. This knowledge can help the client address her child's perception appropriately.