ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse assesses a circular, flat, reddened lesion about 5 cm in diameter on a middle-aged patient’s ankle. How should the nurse determine if the lesion is related to intradermal bleeding?
Correct Answer: B
Rationale: The correct answer is B: Press firmly on the lesion. By pressing firmly on the lesion, the nurse can assess if the reddened area blanches (turns white) temporarily, indicating intradermal bleeding. Elevating the leg (choice A) may help with circulation but does not directly assess intradermal bleeding. Checking skin temperature (choice C) does not provide information about intradermal bleeding. Palpating pulses (choice D) assesses vascular status but does not directly assess intradermal bleeding. Pressing firmly on the lesion is the most direct way to determine if the redness is related to intradermal bleeding.
Question 2 of 5
The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient’s instructions?
Correct Answer: B
Rationale: The correct answer is B: Your cheek area will be eroded and it will take several weeks to heal. Rationale: 1. 5-FU is a topical chemotherapy agent used to treat actinic keratosis by causing erosion of the affected skin area. 2. Erosion of the skin is an expected side effect of 5-FU treatment and indicates that the medication is working to treat the actinic keratosis. 3. Healing after the erosion process can take several weeks as the skin regenerates. 4. This statement provides accurate information about the expected effects of 5-FU treatment on the patient's cheek area. Summary: - Option A is incorrect as 5-FU is not used to shrink the lesion for surgical excision but to treat actinic keratosis topically. - Option C is incorrect as nausea and anorexia are not common side effects of topical 5-FU treatment for actinic keratosis. - Option D is incorrect as
Question 3 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 4 of 5
The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about
Correct Answer: D
Rationale: The correct answer is D: dual-energy x-ray absorptiometry (DXA). This test is used to measure bone mineral density and can help diagnose osteoporosis, which is a common cause of height loss in older adults. Teaching the patient about DXA can help in early detection and management of osteoporosis. A: Discography studies are used to evaluate back pain, not height loss. B: Myelographic testing is used to detect spinal cord or nerve root compression, not height loss. C: MRI is useful for imaging soft tissues and organs, not for assessing bone density or height loss.
Question 5 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.