ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
Correct Answer: D
Rationale: The correct answer is D: Excisional biopsy. This type of biopsy is appropriate for the removal of a larger lesion like a 15-mm mole. It involves removing the entire lesion along with a margin of normal tissue for accurate diagnosis. Shave biopsy (A) is superficial and not suitable for larger or irregular lesions. Punch biopsy (B) removes a small cylindrical core of tissue and may not be sufficient for comprehensive analysis. Incisional biopsy (C) involves taking a sample from a specific area of the lesion, which is not ideal for suspicious or multicolored moles as they require complete removal for accurate assessment.
Question 2 of 5
What is the best method to prevent the spread of infection to others when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
Correct Answer: C
Rationale: The correct answer is C: Wash hands and properly dispose of soiled dressings. This is the best method to prevent the spread of infection when changing the dressing over a wound infected with Staphylococcus aureus. Washing hands helps to remove any potential pathogens, reducing the risk of cross-contamination. Proper disposal of soiled dressings ensures that any infectious material is contained and not spread to others. Incorrect options: A: Changing the dressing using sterile gloves is important, but it is not sufficient on its own to prevent the spread of infection. B: Applying antibiotic ointment over the wound may help treat the infection locally but does not address the risk of spreading the infection. D: Soaking the dressing in sterile normal saline before removal may help with the removal process, but it does not address preventing the spread of infection to others.
Question 3 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 4 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 5 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.