ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is caring for a client who is admitted to the unit with tuberculosis (TB). Which type of isolation room is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Isolation room with an anteroom and negative airflow. This is appropriate for TB as it prevents contaminated air from escaping the room, reducing the risk of transmission. Negative airflow ensures air flows into the room, capturing and containing infectious particles. A: Positive airflow would allow contaminated air to escape. C: Normal airflow may not contain infectious particles effectively. D: Normal airflow could lead to potential spread of TB outside the room.
Question 2 of 5
Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
Correct Answer: C
Rationale: The correct answer is C, petechiae on the chest and abdomen. Petechiae are small pinpoint hemorrhages that can indicate a serious underlying medical condition such as thrombocytopenia or a bleeding disorder. It is important to discuss this immediately with the healthcare provider to determine the cause and initiate appropriate treatment. A: Dry, scaly patches on the face are likely related to skin issues and can be addressed during a routine dermatology visit. B: Numerous varicosities on both legs are common in older individuals and usually do not require urgent attention unless causing pain or other complications. D: Small dilated blood vessels on the face are typically cosmetic concerns and not urgent unless they are causing discomfort or affecting vision.
Question 3 of 5
A teenaged male patient who is on a wrestling team is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
Correct Answer: B
Rationale: The correct answer is B because papular, wheal-like lesions with white deposits on the hair shaft are characteristic of pediculosis (lice infestation). The white deposits are lice eggs (nits) attached to the hair shaft, indicating the presence of lice. This finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of lice. Sharing headgear can facilitate the transmission of lice from one person to another. Choice A is incorrect as ring-like rashes with red, scaly borders over the entire scalp are more indicative of ringworm (tinea capitis), a fungal infection, not pediculosis. Choice C is incorrect as patchy areas of alopecia with small vesicles and excoriated areas are more indicative of scalp folliculitis or herpes zoster, not pediculosis. Choice D is incorrect as red, hive-like papules and plaques with sharply circumscribed borders are
Question 4 of 5
An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?
Correct Answer: D
Rationale: The correct answer is D: Teach the use of cold packs to reduce bruising and swelling. Cold packs can help reduce inflammation, bruising, and swelling after a surgical procedure like Mohs surgery. This promotes healing and comfort for the patient. A: Scheduling daily appointments for dressing changes is not necessary for a post-Mohs procedure care plan as the dressing changes are typically done less frequently. B: Describing the use of topical fluorouracil is not relevant in the postoperative care of a patient who had a Mohs procedure as it is used for treating precancerous skin lesions, not for postoperative wound care. C: Teaching sterile technique to clean the suture line is important, but it is not the immediate priority in the postoperative care of a patient who had a Mohs procedure.
Question 5 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.