ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 1 of 55
The nurse is caring for a client with deep partial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider?
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Question 2 of 55
Which medication should the nurse administer first on a medical unit?
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Question 3 of 55
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which sign or symptom is associated with this diagnosis?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 4 of 55
Which psychosocial problem should the nurse identify for a client with an external fixator device?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 5 of 55
A client in sinus bradycardia, with a heart rate of 45 beats/minute, complains of dizziness and has a blood pressure of 82/60 mm Hg. Which prescription should the nurse anticipate will be prescribed?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 6 of 55
A client with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting would have which nursing diagnosis as a first priority?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 7 of 55
While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other area should the nurse assess to confirm presence of jaundice?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 8 of 55
A patient's leg wound is not healing as quickly as expected. What should the nurse do first to determine the reason for the patient's poor healing?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 9 of 55
A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 10 of 55
When providing the open method of treatment for a patient who is 52 years old with burns to the lower extremities, what would a nurse include in the nursing plan?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 11 of 55
An elite high school football player has been diagnosed with a shoulder dislocation. The patient has been treated and is eager to resume his role on his team, stating that he is not experiencing pain. What should the nurse emphasize during health education?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 12 of 55
The nurse is caring for the client who had a right shoulder replacement. Which data warrant immediate intervention?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 13 of 55
When examining an older patient in the home, the home health nurse notices irregular patterns of bruising at different stages of healing on the patients body. Which action should the nurse take first?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 14 of 55
Which nursing intervention can help a client maintain healthy skin?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 15 of 55
The clinic nurse notes that the health care provider has documented a diagnosis of herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made by which diagnostic test?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 16 of 55
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?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 17 of 55
A nurse is caring for a client brought to the emergency room following a burn injury that occurred in the basement of the home. Which initial finding would indicate the presence of inhalation injury?
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Question 18 of 55
Which activity is an example of primary prevention for low back pain among factory workers?
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Question 19 of 55
Which assessment technique should the nurse implement when assessing the client's cranial nerves for vibration?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 20 of 55
Which type of capillary hemangioma is described by the following: this is where a port-wine stain capillary hemangioma is seen on the face, with segmental distribution, corresponding to the cutaneous branches of the trigeminal nerve. It may be associated with angiomas of the cerebral pia–arachnoid, which may manifest themselves by focal epileptic attacks
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 21 of 55
Acceptable urine output for an adult is at least how many milliliters per hour?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 22 of 55
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?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 23 of 55
A student nurse is caring for an adolescent with frostbite of the hand in the emergency department. Which action by the student would require the registered nurse to intervene?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 24 of 55
Which discharge instructions should be included for a client with a traumatic left AKA? Select all that apply.
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 25 of 55
The term pruritus refers to:
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Question 26 of 55
The pediatric clinic nurse assesses small, pink pearl-like lesions on the trunk of a school-aged child. Which treatment regimen does the nurse plan to teach the family about based on the assessment findings?
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Question 27 of 55
Which of the following clients would least likely be at risk of developing skin breakdown?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 28 of 55
A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 29 of 55
The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 30 of 55
The employee health nurse is teaching a class on 'Preventing Eye Injury.' Which information should be discussed in the class?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 31 of 55
The nurse is caring for a client who had an above-knee amputation 2 days ago. The residual limb was wrapped with an elastic compression bandage, which has come off. Which immediate action should the nurse take?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 32 of 55
A patient with several deep partial-thickness burns asks how long it will take for the burn to heal. What should the nurse respond to this patient?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 33 of 55
The male client diagnosed with type 2 diabetes mellitus tells the nurse he has begun to see yellow spots. Which interventions should the nurse implement? List in order of priority.
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 34 of 55
Why does smoking cause brittle bones?
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Question 35 of 55
A nurse assesses a wife who is caring for her husband with a Braden Scale score of 9. Which question should the nurse include in this assessment?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 36 of 55
Which task should the nurse delegate to the unlicensed assistive personnel (UAP) for a client experiencing pruritus?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 37 of 55
The nurse and an unlicensed assistive personnel (UAP) are caring for clients in a dermatology clinic. Which task should not be delegated to the UAP?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 38 of 55
Which intervention should the nurse implement for a client diagnosed with disseminated herpes zoster secondary to AIDS?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 39 of 55
An 80-year-old patient is brought to the clinic by her son. The son asks the nurse why his mother has gotten so many spots on her skin. What would be an appropriate response by the nurse?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 40 of 55
Which finding requires immediate referral when a nurse assesses an older adult's skin?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 41 of 55
A client sustained a major burn is beginning to take an oral diet again. The nurse plans to encourage the client to eat variety of which of the following types of foods to best help in continued wound healing and tissue repair?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 42 of 55
The nurse is caring for patient who has been struck by lightning. Because of the nature of the injury, the nurse assesses the patient for which of the following?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 43 of 55
Which information will the nurse include when teaching an older patient about skin care?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 44 of 55
What is a common diagnostic criterion for identifying systemic lupus erythematosus (SLE)?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 45 of 55
Which of the following is characterized by dark coloring:
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 46 of 55
A patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 47 of 55
An older patient says that sunlight has always been avoided because of the risk for developing skin cancer. Which function of the skin has been most affected by this patient's practice?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 48 of 55
A nurse assesses a client who has burn injuries and notes crackles in bilateral lung bases, a respiratory rate of 40 breaths/min, and a productive cough with blood-tinged sputum. Which action should the nurse take next?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 49 of 55
The nurse in an ambulatory care center is admitting an older adult patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 50 of 55
Which client signs and symptoms indicate contact dermatitis to the nurse?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 51 of 55
The nurse is discussing the application of silver nitrate to a client diagnosed with a partial-thickness burn to the left leg. Which information should the nurse teach the client when discussing how to apply this medication after discharge?
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Question 52 of 55
Which of the following are signs of a tension pneumothorax?
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ATI LPN · Fundamentals Wound Care and Skin Integrity Questions
Question 53 of 55
A patient is experiencing scaly, patchy skin changes on the upper back, chest, and arms. In some areas the skin is either red, dark in color, or lighter in color. Which type of fungal infection is this patient most likely experiencing?
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Question 54 of 55
A client recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should be given to the client?
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Question 55 of 55
The client diagnosed with a pituitary tumor developed syndrome of inappropriate antidiuretic hormone (SIADH). Which intervention should the nurse implement?
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