ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
Correct Answer: B
Rationale: Step 1: Tanning booth use is a modifiable risk factor, unlike the patient's genetic predisposition (A) or inherent characteristics (C). Step 2: Tanning booths increase UV exposure, a known risk factor for melanoma. Step 3: Education on avoiding tanning booths can help reduce the patient's risk. Summary: Option B is the priority as it addresses a behavior that can be changed to lower melanoma risk, unlike the other factors.
Question 2 of 5
The nurse working in the dermatology clinic assesses a young adult female patient who has severe cystic acne. Which assessment finding is of concern related to the patient’s prescribed isotretinoin?
Correct Answer: A
Rationale: The correct answer is A because isotretinoin is a teratogenic medication, meaning it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for females of childbearing age to use effective contraception while on isotretinoin to prevent pregnancy. The removal of the intrauterine device raises concerns about the patient's contraception method and potential risk of pregnancy. Choice B is incorrect because acne scarring does not directly impact the safety or effectiveness of isotretinoin treatment. Choice C is incorrect as the use of topical antibiotics does not directly affect the use of isotretinoin. Choice D is incorrect as a family history of rheumatoid arthritis is not a contraindication or concern specifically related to isotretinoin treatment.
Question 3 of 5
After completing the health history, the nurse assessing the musculoskeletal system will begin by
Correct Answer: C
Rationale: The correct answer is C because observing the patient's body build and muscle configuration provides initial information about the patient's overall musculoskeletal health. This step allows the nurse to assess for any abnormalities, such as muscle atrophy or asymmetry, which can indicate underlying musculoskeletal issues. It also helps in identifying any deformities or structural abnormalities. Choice A is incorrect because having the patient move the extremities against resistance comes later in the assessment process to evaluate muscle strength. Choice B is incorrect as feeling for crepitus during joint movement is a specific assessment for joint health and does not address the overall musculoskeletal system. Choice D is incorrect as checking active and passive range of motion for the extremities is typically done after observing the patient's body build and muscle configuration.
Question 4 of 5
A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
Correct Answer: D
Rationale: Correct Answer: D - Modifying arm movements Rationale: Modifying arm movements is crucial in managing repetitive strain syndrome to prevent further damage and alleviate symptoms. This approach focuses on changing the way the worker performs tasks to reduce strain on the affected area. By teaching the patient how to adjust their movements, the nurse can help prevent exacerbation of symptoms and promote healing. Summary: A: Surgical options are not typically the first-line treatment for repetitive strain syndrome and are usually considered only when conservative measures have failed. B: Elbow injections may provide temporary relief but do not address the root cause of the issue, which is repetitive strain from improper movements. C: Wearing a left wrist splint may provide support but does not address the root cause of the issue, which is the strain on the elbow from repetitive movements.
Question 5 of 5
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates the patient can safely ambulate independently?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates proper crutch walking technique. By advancing the left leg and both crutches together first, the patient maintains non-weight bearing on the left leg. Then, advancing the right leg allows for a smooth and balanced gait pattern. Choice A is incorrect because it would result in weight-bearing on the left leg when the right crutch is moved with the right leg. Choice C is incorrect as the patient should not rely on external support like a bedside chair for balance during ambulation. Choice D is incorrect as the crutch should not be placed firmly in the axillary area to avoid nerve damage.