ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the medication, which statement by the patient indicates that further teaching is needed?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Pimecrolimus (Elidel) is a topical immunomodulator used for atopic dermatitis. 2. Burning sensation is a common side effect, but wiping it off can decrease its efficacy. 3. Patient should be instructed to leave the medication on the skin and not wipe it off. 4. Choices A, C, and D demonstrate understanding of the medication's usage and side effects. 5. Choice B indicates a need for further teaching to prevent improper application.
Question 2 of 5
The nurse notes crackling sounds and a grating sensation with palpation of an older patient’s elbow. How will this finding be documented?
Correct Answer: B
Rationale: The correct answer is B: Crepitation. Crepitation refers to crackling sounds and a grating sensation felt with palpation, often indicative of joint or bone abnormalities. It is commonly associated with osteoarthritis or joint degeneration, which is common in older patients. Torticollis (A) is a condition characterized by abnormal neck positioning, not related to elbow findings. Subluxation (C) refers to partial dislocation of a joint, not typically associated with crackling sounds. Epicondylitis (D) is inflammation of the tendons attached to the elbow, but it does not involve crackling sounds or a grating sensation.
Question 3 of 5
The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
Correct Answer: D
Rationale: The correct answer is D because x-rays showing complete bony union indicate proper healing of the fracture. This ensures that the bone is strong enough to bear weight and function normally. Choice A is incorrect as leaving the cast for several months is excessive. Choice B is incorrect as 3 weeks may not be sufficient for proper healing. Choice C is incorrect as swelling resolution does not guarantee complete healing.
Question 4 of 5
A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
Correct Answer: A
Rationale: The correct answer is A: Check and clean the pin insertion sites daily. This is important to prevent infection, which is a common complication with external fixation devices. Cleaning the pin sites reduces the risk of infection and promotes healing. Summary of other choices: B: Removing the external fixator for showering can compromise the stability of the fracture. C: Remaining on bed rest until bone healing is complete is not necessary and can lead to complications like muscle atrophy. D: Taking prophylactic antibiotics until the fixator is removed is not recommended unless there is a specific indication for infection prevention.
Question 5 of 5
When giving home care instructions to a patient who has comminuted left forearm fractures and a long-arm cast, which information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Call the health care provider for numbness of the hand. In a patient with comminuted left forearm fractures and a long-arm cast, numbness could indicate compartment syndrome, a serious complication. Prompt intervention is crucial to prevent tissue damage. Keeping the shoulder elevated (A) is important for comfort but not directly related to the fractures. Avoiding NSAIDs (B) is generally recommended for fractures due to their potential to delay healing. Keeping the hand immobile (D) is important, but it does not address the potential emergency situation of developing compartment syndrome.