ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A patient is brought to the emergency department by ambulance after stepping in a hole and falling. While assessing him the nurse notes that his right leg is shorter than his left leg; his right hip is noticeably deformed and he is in acute pain. Imaging does not reveal a fracture. Which of the following is the most plausible explanation for this patient's signs and symptoms?
Correct Answer: D
Rationale: Signs and symptoms of a traumatic dislocation include acute pain, change in positioning of the joint, shortening of the extremity, deformity, and decreased mobility. A subluxation would cause moderate deformity, or possibly no deformity. A contusion or strain would not cause obvious deformities.
Question 2 of 5
A patient is to undergo a punch biopsy of a lesion. What should the nurse anticipate when assisting in the collection of this specimen?
Correct Answer: C
Rationale: Local anesthesia is typically administered before a punch biopsy to minimize discomfort.
Question 3 of 5
A patient has a leg wound that has beige exudate and a fishy odor. For which microorganism should the nurse plan care for this patient?
Correct Answer: A
Rationale: Proteus infections are known for producing a fishy odor and beige exudate due to their urease-producing nature, distinguishing them from other listed microorganisms.
Question 4 of 5
The nurse is concerned that a patient is developing a complicated soft tissue bacterial infection. Which assessment finding is most indicative of this condition?
Correct Answer: D
Rationale: Low blood pressure suggests systemic involvement (e.g., sepsis) in a complicated infection, beyond localized symptoms like pain or fever.
Question 5 of 5
A type of burn that affects all the epidermis and part of the dermis:
Correct Answer: B
Rationale: Second-degree burns involve the entire epidermis and part of the dermis, causing blisters.