ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 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.
Question 2 of 5
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates additional patient teaching is needed?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): The statement "I did not have this bone cancer until my leg broke a week ago" indicates a lack of understanding about osteosarcoma, a type of bone cancer. Osteosarcoma does not develop as a result of a broken bone; rather, it is a primary bone cancer that arises from bone cells. This statement suggests a misunderstanding of the nature of the disease, indicating a need for further patient education. Summary of Incorrect Choices: A: Choice A is correct as physical therapy is typically recommended after amputation to aid in rehabilitation and improve mobility. B: Choice B is not indicative of a need for additional teaching as chemotherapy is often part of the treatment plan for osteosarcoma. D: Choice D is also not a sign for additional teaching as PCA is commonly used for postoperative pain management after amputation surgery.
Question 3 of 5
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
Correct Answer: D
Rationale: The correct answer is D: pain intensity. In Paget's disease, bone pain is a common symptom. Monitoring pain intensity helps assess the effectiveness of treatment. Changes in pain levels can indicate disease progression or response to medication. Oral intake (A), daily weight (B), and grip strength (C) are not direct indicators of Paget's disease progression or treatment effectiveness. Pain intensity is a key factor in evaluating the patient's response to calcitonin and ibandronate therapy.
Question 4 of 5
The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select the one that does not apply)?
Correct Answer: B
Rationale: The correct answer is B: Alopecia. This does not apply to an older adult who worked in landscaping. Alopecia is not typically associated with working in landscaping, while choices A, C, and D are more likely to be relevant due to sun exposure and skin irritation. Vitiligo may develop due to sun exposure, intertrigo can result from skin friction and moisture, and erythema can be caused by excessive sun exposure. Alopecia, which is hair loss, is not directly related to the work environment in landscaping.
Question 5 of 5
Which of the following disorders of the skin is most likely to respond to treatment with systemic antibiotics?
Correct Answer: A
Rationale: The correct answer is A: Acne vulgaris. Acne vulgaris is a skin disorder caused by bacterial overgrowth in hair follicles. Systemic antibiotics can target the bacteria and reduce inflammation, leading to improvement. Urticaria, atopic dermatitis, and verrucae are not primarily caused by bacterial infections, so systemic antibiotics would not be the first-line treatment for these conditions. Urticaria is usually treated with antihistamines, atopic dermatitis with topical corticosteroids, and verrucae with various topical treatments or procedures.