ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is caring for a patient who is to be discharged from the hospital 4 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?
Correct Answer: D
Rationale: The correct answer is D because sleeping in any position that is comfortable for the patient after femoral head prosthesis insertion can increase the risk of dislocation. The posterior approach is more prone to dislocation with certain movements. A: Not crossing legs prevents hip dislocation. B: Using a toilet elevator reduces hip flexion. C: Having someone else put on shoes and socks prevents bending at the hip. Therefore, D is the only choice that could lead to complications.
Question 2 of 5
When assessing for Tinel’s sign in a patient with possible right carpal tunnel syndrome, the nurse will ask the patient about
Correct Answer: D
Rationale: The correct answer is D because Tinel's sign in carpal tunnel syndrome manifests as tingling in the thumb and index finger due to compression of the median nerve. This occurs when tapping over the carpal tunnel elicits tingling or pins and needles sensation. Weakness in the right little finger (A), burning in the right elbow and forearm (B), and tremor when gripping with the right hand (C) are not typically associated with Tinel's sign or specific to carpal tunnel syndrome.
Question 3 of 5
A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: How to monitor and care for a long-term IV catheter. This is crucial as the patient may require ongoing IV antibiotics after discharge. Proper care can prevent infections and complications. Warm packs (choice A) may not be recommended for osteomyelitis. Daily aerobic exercise (choice C) is not directly related to IV antibiotic therapy. Taking oral antibiotics post-discharge (choice D) is not the focus of IV catheter care.
Question 4 of 5
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse explains that
Correct Answer: D
Rationale: The correct answer is D. Increasing calcium intake and weight-bearing exercise can help slow calcium loss from bones, which is crucial in managing osteopenia and preventing progression to osteoporosis. Calcium is essential for bone health, and weight-bearing exercises help strengthen bones. A: Incorrect. Family history of osteoporosis does not mean it cannot be prevented or slowed down. Lifestyle modifications can help manage the condition. B: Incorrect. Estrogen replacement therapy is not the only option for managing osteopenia. It may have risks and benefits that should be discussed with a healthcare provider. C: Incorrect. Corticosteroid treatment is not typically recommended for osteopenia or osteoporosis management. It can have adverse effects on bone health.
Question 5 of 5
Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?
Correct Answer: B
Rationale: The correct answer is B because assessing for numbness or tingling of the hands and arms is crucial to rule out potential serious conditions like cervical radiculopathy or nerve compression. This step helps determine the urgency of the situation and guides further assessment and management. Providing information about exercises (A), suggesting heat/cold therapy (C), or teaching about NSAIDs (D) can be appropriate interventions, but they should come after ruling out any immediate neurovascular concerns.