Question

A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

Answer 1

Correct Answers:

Increase in skin thinning
Decrease in subcutaneous tissue
Decrease in skin hydration

Rationale :

🧓Aging reduces collagen production and cell turnover, leading to marked thinning of both the epidermis and dermis.

🤏Loss of subcutaneous tissue diminishes cushioning and insulation, increasing susceptibility to injury and temperature fluctuations.

💦Sebaceous and sweat gland activity declines, resulting in decreased skin hydration and dry, fragile skin.

🔬These structural changes impair barrier function and slow wound healing in older adults.

📌Core Message

Age-related skin thinning, subcutaneous tissue loss, and reduced skin hydration increase skin fragility.

Answer 2

Correct Answers:

Cleanse the area around the wound with sterile saline.

Rationale :

🧼Removing surface debris and contaminants first enhances the accuracy of the subsequent culture.

🧽Sterile saline gently clears wound margins without destroying viable pathogens needed for an aerobic culture.

🦠Sampling from a clean wound bed ensures isolation of the true pathogen rather than colonizing flora.

🩺Adhering to aseptic technique by cleansing before collection prevents false-positive results.

📌Core Message

Sterile saline cleansing of the wound perimeter ensures an accurate aerobic culture.

Answer 3

Correct Answers:

Radiation therapy
Micrographic surgery
Electro surgery

Rationale :

🎯Radiation therapy targets and destroys cancerous basal cells when surgery isn’t an option.

🔍Mohs micrographic surgery offers precise margin control, sparing healthy tissue while ensuring complete excision.

⚡Electrosurgery (electrodesiccation and curettage) efficiently eradicates superficial lesions with minimal tissue loss.

🚫Topical corticosteroids do not address malignant cell proliferation and are not used for cancer treatment.

📌Core Message

Radiation therapy, Mohs micrographic surgery, and electrosurgery effectively treat basal cell carcinoma.

Answer 4

Correct Answers:

Purplish in color

Rationale :

🎨Melanomas often exhibit color variegation, including shades of black, blue, and purplish hues.

🌈Purplish pigmentation reflects atypical melanin deposition by malignant melanocytes.

🚫Purulent drainage suggests infection rather than a pigment-based skin cancer.

❌Pruritus is not a hallmark of malignant melanoma and may be absent.

📌Core Message

Color variegation, such as purplish hues, is characteristic of malignant melanoma.

Answer 5

Correct Answers:

Influenza-like symptoms

Rationale :

🤒Primary HSV-2 outbreaks typically present with systemic flu-like symptoms such as fever and malaise.

🧫Genital herpes produces vesicular lesions, not papillary growths like those in HPV infections.

🚫White- or flesh-colored papillary growths indicate HPV, not herpes simplex virus.

💦Anuria and green discharge are signs of urinary retention or bacterial infection, not a viral STI.

📌Core Message

HSV-2 initial outbreaks often include flu-like systemic symptoms alongside genital lesions.

Answer 6

Correct Answers:

Difficulty swallowing

Rationale :

🗣Difficulty swallowing suggests airway edema from facial burns, risking obstruction.

❤️Tachycardia can indicate stress or fluid shifts, but airway compromise is more immediately life-threatening.

💧Low urinary output signals hypovolemia but remains secondary to airway patency.

🩹Pain control is important but less critical than securing a clear airway in burn patients.

📌Core Message

Airway compromise is the priority concern in facial burn injuries.

Answer 7

Correct Answers:

The epidermis receives nutrition from the dermis.

Rationale :

🌱The avascular epidermis relies on diffusion of oxygen and nutrients from the vascular dermis.

✍️Adipose tissue resides in the hypodermis, not within the epidermal layer.

📡Nerve endings are concentrated in the dermis, whereas the epidermis contains primarily keratinocytes.

💉Blood vessels are found in the dermis and subcutaneous tissue, not in the epidermis.

📌Core Message

The epidermis is avascular and depends on nutrient diffusion from the dermis.

Answer 8

Correct Answers:

0.8

Rationale :

📐Using dimensional analysis: (100 mg × 2 mL) ÷ 250 mg = 0.8 mL.

🧮Rounding to the nearest tenth yields 0.8 mL for accurate dosing.

💉IM injections require precise volume measurement to avoid underdosing or overdose.

🔍A leading zero prevents misreading of a dose less than one milliliter.

📌Core Message

Calculate a 0.8 mL volume for a 100 mg IM dose using dimensional analysis.

Answer 9

Correct Answers:

Inspect the mouth for signs of inhalation injuries.

Rationale :

🔥Inhalation injuries can cause airway edema and obstruction even without obvious facial burns.

👄Signs such as soot in the mouth, singed nasal hairs, or carbonaceous sputum indicate respiratory involvement.

🚫While CBC and catheter insertion are important, they do not address immediate airway threats.

💊Pain management is essential but secondary to securing a patent airway.

📌Core Message

Early airway assessment for inhalation injury is the top priority in burn care.

Answer 10

Correct Answers:

325

Rationale :

🔢Burn resuscitation guidelines allocate half of the 24-hr fluid volume in the first 8 hr.

⏱Half of 5,200 mL equals 2,600 mL delivered over 8 hr, yielding 325 mL/hr.

✅Accurate pump settings maintain hemodynamic stability and prevent fluid overload.

🩺Close monitoring of infusion rate supports adequate perfusion in burn clients.

📌Core Message

Administer half of the 24-hr fluid total in the first 8 hr at 325 mL/hr.

ATI Medical Surgical integ. burns Exam

No.

1 :
A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

2 :
A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

3 :
A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma. Which of the following treatments should the nurse include in the discussion? (Select all that apply)

4 :
A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing?

5 :
A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

6 :
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority report to the provider?

7 :
A nurse is teaching a class about the epidermis. Which of the following information should the nurse include?

8 :
A nurse is preparing to administer hydrocortisone 100 mg 1M daily to a client. Available is hydrocortisone 250 mg/2 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

9 :
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms Which of the following is the priority action the nurse should take?

ATI Medical Surgical integ. burns Exam

No.

1 : A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

2 : A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

3 : A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma. Which of the following treatments should the nurse include in the discussion? (Select all that apply)

4 : A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing?

5 : A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

6 : A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority report to the provider?

7 : A nurse is teaching a class about the epidermis. Which of the following information should the nurse include?

8 : A nurse is preparing to administer hydrocortisone 100 mg 1M daily to a client. Available is hydrocortisone 250 mg/2 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

9 : A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms Which of the following is the priority action the nurse should take?

1 :
A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

2 :
A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

3 :
A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma. Which of the following treatments should the nurse include in the discussion? (Select all that apply)

4 :
A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing?

5 :
A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

6 :
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority report to the provider?

7 :
A nurse is teaching a class about the epidermis. Which of the following information should the nurse include?

8 :
A nurse is preparing to administer hydrocortisone 100 mg 1M daily to a client. Available is hydrocortisone 250 mg/2 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

9 :
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms Which of the following is the priority action the nurse should take?