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ATI RN · ATI Fundamentals · Skin Integrity and Wound Care Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The provider has ordered fluid administration for a pediatric client with pneumonia. The client weighs 81.6 lb (37 kg). The nurse should expect to administer ________ mL of fluid per day for this client.

A. 1840 mL/day.
B. 18.40 mL/day.
C. 3680 mL/day.
D. 184mL/day.

Expert Explanatory Rationale

Correct Answer: 1840 mL/day.

Question 2 of 5

The nurse is caring for a client who is hospitalized for cellulitis of the foot. Which nursing diagnoses should the nurse use to plan this client's care? Select the one that does not apply

A. Social Isolation related to skin infection
B. Impaired Skin Integrity related to skin infection
C. Acute Pain related to skin infection
D. Disturbed Sleep Pattern related to skin infection

Expert Explanatory Rationale

Correct Answer: Social Isolation related to skin infection

Question 3 of 5

An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?

A. Schedule daily appointments for dressing changes.
B. Describe the use of topical fluorouracil on the incision.
C. Teach how to use sterile technique to clean the suture line.
D. Teach the use of cold packs to reduce bruising and swelling.

Expert Explanatory Rationale

Correct Answer: Teach the use of cold packs to reduce bruising and swelling.

Question 4 of 5

When patients are pulled up in bed rather than lifted, they are at increased risk for the development of a decubitus ulcer. What is the name given to the factor responsible for this risk?

A. friction
B. necrosis of tissue
C. ischemia
D. shearing force

Expert Explanatory Rationale

Correct Answer: shearing force

Question 5 of 5

Which assessment charting indicates that the wound is healing by primary intention?

A. The 4-inch incision edges are well approximated with intact sutures
B. Ulcerated 3-inch x 1-inch area has thick yellow slough present in the center
C. Incision is 5 inch long x 1 inch deep x 1 inch wide with granulation tissue present
D. Superficial 3-inch x 3-inch abrasion has no active bleeding, drainage or debris

Expert Explanatory Rationale

Correct Answer: The 4-inch incision edges are well approximated with intact sutures

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