ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which nursing assessment finding indicates a potential complication of the fracture?
Correct Answer: B
Rationale: The correct answer is B because a distended abdomen and absent bowel sounds can indicate internal bleeding or organ damage, common complications of pelvic fractures. This suggests potential abdominal compartment syndrome or intra-abdominal hemorrhage. Choices A and C are typical symptoms of a pelvic fracture and do not specifically indicate a complication. Choice D may be common due to the impact of the crash but does not directly indicate a complication like internal bleeding.
Question 2 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 3 of 5
Which action will the urgent care nurse take for a patient with a possible knee meniscus injury?
Correct Answer: B
Rationale: The correct answer is B: Apply an immobilizer to the affected leg. This action helps stabilize the knee joint and prevent further injury to the meniscus. Immobilization aids in reducing pain and inflammation by limiting movement. It also allows for proper healing of the injured area. Encouraging bed rest (A) is not ideal as some movement is necessary for recovery. Avoiding palpation or movement (C) does not address the need for stabilization. Administering intravenous opioids (D) may help manage pain but does not address the primary concern of stabilizing the knee joint.
Question 4 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 5 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.