ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
During assessment of the patient’s skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?
Correct Answer: B
Rationale: The correct term to document the distribution of lesions on the left and right upper back areas is "Symmetric" (Choice B). This term indicates that the lesions are evenly distributed on both sides of the body, mirroring each other in a balanced pattern. "Confluent" (Choice A) refers to lesions merging together, "Zosteriform" (Choice C) relates to lesions following a dermatomal pattern, and "Generalized" (Choice D) indicates widespread distribution across the body. In this case, the lesions appearing on both sides of the upper back in a similar pattern suggest symmetry, making "Symmetric" the most appropriate term.
Question 2 of 5
The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
Correct Answer: C
Rationale: The correct answer is C because using bacitracin-neomycin-polymyxin on minor abrasions can actually worsen contact dermatitis due to the risk of allergic reactions and delayed wound healing. The other choices are appropriate for managing contact dermatitis symptoms: A) corticosteroid cream helps reduce inflammation and itching, B) oilated oatmeal can soothe and moisturize the skin, and D) diphenhydramine can provide relief from itching. Overall, choice C is incorrect as it can exacerbate the condition, making it crucial for patient teaching to avoid such products for minor abrasions in the setting of contact dermatitis.
Question 3 of 5
There is one opening in the schedule at the dermatology clinic, and four patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
Correct Answer: B
Rationale: The correct answer is B (38-year-old with a 7-mm nevus on the face that has recently become darker) because changes in the color, shape, or size of a mole could indicate melanoma, a type of skin cancer. This patient's symptoms require immediate evaluation. Choice A (50-year-old with skin redness after a chemical peel) is likely post-inflammatory erythema, which is a common side effect and not an urgent issue. Choice C (62-year-old with papules in axillary areas) is likely skin tags, which are benign and not urgent. Choice D (42-year-old with itching after using topical fluorouracil) is a common side effect and can usually wait for a regular appointment.
Question 4 of 5
Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?
Correct Answer: A
Rationale: The correct answer is A: Lift the patient's leg to a 60-degree angle from the bed. This is because the straight-leg raising test is used to assess for sciatic nerve irritation. Lifting the leg to a 60-degree angle from the bed helps to stretch the sciatic nerve and can elicit pain if there is nerve compression. Placing the patient in the prone position (B) or asking the patient to dangle both legs (C) would not provide the proper positioning for this test. Instructing the patient to elevate the legs and tense the abdominal muscles (D) is not the correct technique for performing the straight-leg raising test.
Question 5 of 5
The occupational health nurse will teach the patient whose job involves many hours of typing to
Correct Answer: A
Rationale: The correct answer is A because using a keyboard pad can help support the wrist and reduce strain during typing, promoting proper ergonomics. This can prevent wrist injuries and musculoskeletal issues. Stretching exercises (B) can be beneficial but may not address the root cause of the issue. Wrapping wrists with compression bandages (C) can restrict movement and may not be necessary for prevention. Avoiding NSAIDs (D) may not be necessary as a preventive measure unless prescribed by a healthcare provider for a specific reason.