ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for arthroplasty of several joints in the left hand. Which patient statement to the nurse indicates a realistic expectation for the surgery?
Correct Answer: C
Rationale: The correct answer is C: "I will be able to use my fingers with more flexibility to grasp things." This answer is correct because arthroplasty surgery aims to improve joint function and mobility rather than correcting deformities or changing the appearance of the fingers. Patients with ulnar drift caused by RA typically have limited mobility and flexibility in their fingers, so the goal of the surgery is to enhance the ability to use the fingers for daily tasks. Choice A is incorrect because while the surgery may improve finger function, it may not fully correct all deformities caused by RA. Choice B is incorrect because hand exercises are typically an important part of the post-operative rehabilitation process to regain strength and mobility. Choice D is incorrect because while the surgery may improve the alignment of the joints, it may not significantly change the size or shape of the fingers.
Question 2 of 5
Which finding in a patient with a Colles’ fracture of the left wrist is most important to communicate immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D because prolonged capillary refill indicates compromised blood flow, potentially leading to ischemia or compartment syndrome. It is crucial to communicate this immediately to prevent tissue damage. Swelling (A) and severe pain (B) are common in fractures and should be managed but may not indicate immediate danger. A deformed appearance (C) is expected in a Colles' fracture and usually does not require immediate intervention.
Question 3 of 5
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates additional patient teaching is needed?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): The statement "I did not have this bone cancer until my leg broke a week ago" indicates a lack of understanding about osteosarcoma, a type of bone cancer. Osteosarcoma does not develop as a result of a broken bone; rather, it is a primary bone cancer that arises from bone cells. This statement suggests a misunderstanding of the nature of the disease, indicating a need for further patient education. Summary of Incorrect Choices: A: Choice A is correct as physical therapy is typically recommended after amputation to aid in rehabilitation and improve mobility. B: Choice B is not indicative of a need for additional teaching as chemotherapy is often part of the treatment plan for osteosarcoma. D: Choice D is also not a sign for additional teaching as PCA is commonly used for postoperative pain management after amputation surgery.
Question 4 of 5
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
Correct Answer: D
Rationale: The correct answer is D: pain intensity. In Paget's disease, bone pain is a common symptom. Monitoring pain intensity helps assess the effectiveness of treatment. Changes in pain levels can indicate disease progression or response to medication. Oral intake (A), daily weight (B), and grip strength (C) are not direct indicators of Paget's disease progression or treatment effectiveness. Pain intensity is a key factor in evaluating the patient's response to calcitonin and ibandronate therapy.
Question 5 of 5
The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select the one that does not apply)?
Correct Answer: B
Rationale: The correct answer is B: Alopecia. This does not apply to an older adult who worked in landscaping. Alopecia is not typically associated with working in landscaping, while choices A, C, and D are more likely to be relevant due to sun exposure and skin irritation. Vitiligo may develop due to sun exposure, intertrigo can result from skin friction and moisture, and erythema can be caused by excessive sun exposure. Alopecia, which is hair loss, is not directly related to the work environment in landscaping.