ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA) testing. The nurse will plan to
Correct Answer: A
Rationale: The correct answer is A: explain the procedure. This is important because in a DXA testing, there is no contrast medium or sedative required, so starting an IV line for contrast medium injection (B) and giving an oral sedative (C) are unnecessary. Screening for allergies to shellfish or iodine products (D) is also irrelevant since these are not used in DXA testing. A thorough explanation of the procedure ensures the patient understands what to expect and can help alleviate any anxiety or concerns they may have.
Question 2 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 3 of 5
Which action will the nurse include in the plan of care for a patient who had a cemented right total knee arthroplasty?
Correct Answer: D
Rationale: The correct answer is D because starting progressive knee exercises is essential for regaining strength and mobility post total knee arthroplasty. This will help prevent stiffness and promote healing. Choice A is incorrect as full extension is crucial to prevent contractures. Choice B is incorrect because keeping the knee flexed can lead to stiffness and limited range of motion. Choice C is incorrect as weight-bearing is usually encouraged early on to promote healing and prevent muscle atrophy.
Question 4 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 5 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.