ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for
Correct Answer: A
Rationale: The correct answer is A: a knee immobilizer. This is important to prevent further injury and stabilize the knee joint after a patellar dislocation. Immobilization helps in reducing pain, preventing more dislocations, and promoting healing. Gentle knee flexion (B) may worsen the dislocation. Monitored anesthesia care (C) is not necessary for patient teaching. Physical activity restrictions (D) may be important but are not the immediate focus of patient teaching for a patellar dislocation.
Question 2 of 5
A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The nurse identifies a need for additional teaching related to health maintenance when the nurse finds that the patient
Correct Answer: C
Rationale: The correct answer is C because the inability to plantar flex the foot on the affected side indicates a potential complication related to the osteomyelitis. This could suggest nerve damage, muscle weakness, or worsening infection. Proper plantar flexion is essential for mobility and muscle function. Incorrect choices: A: Frustration with treatment length is common but does not directly impact health maintenance. B: Taking and recording oral temperature is a routine monitoring activity and shows the patient is engaged in self-care. D: Using crutches to avoid weight bearing is a protective measure to prevent further damage to the affected leg and is appropriate for osteomyelitis management.
Question 3 of 5
Which menu choice by a patient with osteoporosis indicates the nurse’s teaching about appropriate diet has been effective?
Correct Answer: D
Rationale: The correct answer is D because it includes foods rich in calcium and vitamin D, essential for bone health in osteoporosis. Oatmeal provides fiber, while skim milk and fruit yogurt offer calcium and protein. Egg whites lack the vitamin D found in dairy products, and grapefruit may interact with certain medications. Pancakes with syrup and bacon are high in saturated fats and sugars, not beneficial for bone health. Whole wheat toast and fresh fruit are nutritious but lack the calcium and vitamin D needed for osteoporosis management.
Question 4 of 5
A nurse who works on the orthopedic unit has just received change-of-shift report. Which patient should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B because urinary retention post-laminectomy can lead to serious complications like bladder distension and renal impairment. Assessing and addressing the patient's voiding status promptly is crucial. Choices A, C, and D all have important issues but do not pose immediate risks to the patient's physiological stability compared to urinary retention.
Question 5 of 5
A teenager reports ugly warts that have invaded her hands. She wants them gone before prom season. The nurse will likely be explaining which of the following treatment measures to this teenager?
Correct Answer: B
Rationale: The correct answer is B: Applying a keratolytic agent like salicylic acid. Salicylic acid is an effective treatment for warts as it helps remove the outer layer of the skin, allowing the wart to gradually diminish. Steroid creams (choice A) are not typically used for warts. Pulling the wart off with tweezers (choice C) can be painful and may lead to infection. Cryotherapy (choice D) should be done by a healthcare professional as it involves freezing the wart with liquid nitrogen. Salicylic acid is a safe and effective over-the-counter treatment for warts, making it the best choice for the teenager seeking a quick resolution before prom season.