ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of
Correct Answer: A
Rationale: The correct answer is A: a fluid-filled sac found at some joints. Bursitis is an inflammation of the bursa, which is a fluid-filled sac located near joints that helps reduce friction between bones, tendons, and muscles. The bursa can become inflamed due to overuse, trauma, or infection, leading to pain and swelling. Choices B, C, and D are incorrect because bursitis specifically involves the bursa, not the synovial membrane, connective tissue, or fibrocartilage within the joint. It is essential for the nurse to accurately explain the condition to the patient to ensure understanding and proper management.
Question 2 of 5
A tennis player has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?
Correct Answer: B
Rationale: The correct answer is B: "You will begin work with a physical therapist tomorrow." This is the correct answer because early physical therapy is crucial for restoring range of motion and strength after rotator cuff surgery. The therapist will guide the patient in exercises to prevent stiffness and promote healing. Choice A is incorrect as it is overly pessimistic and does not reflect the potential for recovery with proper rehabilitation. Choice C is incorrect because immobilizing the shoulder for too long can lead to stiffness and reduced range of motion. Choice D is incorrect as the drop-arm test is used to assess rotator cuff tears before surgery, not to determine the success of surgery.
Question 3 of 5
Which action will the nurse take in order to evaluate the effectiveness of Buck’s traction for a patient who has an intracapsular fracture of the right femur?
Correct Answer: A
Rationale: The correct answer is A: Assess for hip pain. This is because evaluating the patient's level of hip pain is a crucial indicator of the effectiveness of Buck's traction in managing the intracapsular fracture of the right femur. Decreased pain can suggest proper alignment and traction application. Checking peripheral pulses (B) is important for assessing circulation but not specific to evaluating traction. Assessing for contractures (C) is relevant for long-term care but not immediate effectiveness. Monitoring for hip dislocation (D) is important but not the primary indicator of traction effectiveness.
Question 4 of 5
A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for arthroplasty of several joints in the left hand. Which patient statement to the nurse indicates a realistic expectation for the surgery?
Correct Answer: C
Rationale: The correct answer is C: "I will be able to use my fingers with more flexibility to grasp things." This answer is correct because arthroplasty surgery aims to improve joint function and mobility rather than correcting deformities or changing the appearance of the fingers. Patients with ulnar drift caused by RA typically have limited mobility and flexibility in their fingers, so the goal of the surgery is to enhance the ability to use the fingers for daily tasks. Choice A is incorrect because while the surgery may improve finger function, it may not fully correct all deformities caused by RA. Choice B is incorrect because hand exercises are typically an important part of the post-operative rehabilitation process to regain strength and mobility. Choice D is incorrect because while the surgery may improve the alignment of the joints, it may not significantly change the size or shape of the fingers.
Question 5 of 5
After a motorcycle accident, a patient arrives in the emergency department with severe swelling of the left lower leg. Which action will the nurse take first?
Correct Answer: C
Rationale: The correct action is to assess leg pulses and sensation first because it is crucial to determine if there is compromised blood flow or nerve damage. This assessment helps in identifying any immediate threats to the patient's limb and guides further interventions. Elevating the leg or applying compression bandage without ensuring adequate circulation could worsen the condition. Placing ice packs is not appropriate for a potentially compromised limb.