ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D because asking the patient to describe the impact of psoriasis on quality of life is the first step in understanding the patient's perspective and needs. This allows the nurse to assess the severity of the emotional and social impact, which can guide further interventions. Options A, B, and C do not address the root cause of the patient's social withdrawal and may not be as effective in addressing the patient's emotional distress.
Question 2 of 5
Which information will the nurse teach seniors at a community recreation center about ways to prevent fractures?
Correct Answer: C
Rationale: The correct answer is C: Buy shoes that provide good support and are comfortable to wear. This is crucial in preventing falls and fractures as proper footwear can improve balance and reduce the risk of slipping. Seniors should choose shoes with non-slip soles, good arch support, and a comfortable fit to prevent falls. Tacking down scatter rugs (A) can also help prevent falls, but focusing on footwear is more directly related to fracture prevention. Expecting most falls to happen outside the home (B) is not a proactive prevention strategy. Getting instruction in range-of-motion exercises (D) is important for overall mobility but does not directly address fracture prevention.
Question 3 of 5
Which statement by the patient indicates a good understanding of the nurse’s teaching about a new short-arm synthetic cast?
Correct Answer: C
Rationale: The correct answer is C because applying an ice pack to the cast over the fracture site helps reduce swelling and pain, promoting healing. This technique is commonly recommended for managing acute injuries. It shows the patient understands the importance of managing swelling in the initial phase of injury recovery. A is incorrect because getting the cast wet can weaken it and lead to skin irritation. B is incorrect as moving fingers and elbow can disrupt the healing process and cause complications. D is incorrect because applying lotion under the cast can create moisture buildup, leading to skin issues and discomfort.
Question 4 of 5
The day after a having a right below-the-knee amputation, a patient complains of pain in the missing right foot. Which action is most important for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B because administering prescribed analgesics is the most important action to address the patient's pain. The pain experienced is known as phantom limb pain, which is common after amputations. Analgesics can help manage the pain effectively. Choice A is not as crucial as providing immediate pain relief. Choice C focuses on alignment rather than pain management. Choice D, while providing reassurance, does not address the immediate need for pain relief.
Question 5 of 5
A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?
Correct Answer: C
Rationale: The correct answer is C: The right arm appears shorter than the left. This finding suggests a possible shoulder dislocation or fracture, which requires immediate medical attention to prevent further complications. Shortening of the affected limb is a classic sign of a fracture or dislocation. Communicating this to the healthcare provider promptly can expedite appropriate treatment. Incorrect choices: A: There is bruising at the shoulder area - Bruising alone may not indicate a serious injury compared to limb shortening. B: The patient reports arm and shoulder pain - Pain is a common symptom after a fall and may not indicate a specific serious injury. D: There is decreased shoulder range of motion - While decreased range of motion is concerning, limb shortening is a more critical finding indicating a structural injury.