ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 4
The nurse is caring for a postoperative medial meniscus repair of the right knee. Which action should the nurse take to assist with pain management?
Correct Answer: D
Rationale: Apply ice' aids pain post-meniscus repair. Cold e.g., 15 min numbs e.g., 40% less pain unlike 'vital signs' , monitoring e.g., not relief. 'Check pulses' tracks flow e.g., not pain. 'Keep dependent' swells e.g., worse. A nurse applies e.g., Ice pack now' per edema control, a comfort must. The text ties ice to analgesia, making the correct, effective action.
Question 2 of 4
What is the most accurate definition of a wound?
Correct Answer: A
Rationale: A disruption in normal skin and tissue integrity' defines a wound. Skin breach e.g., cut impairs e.g., 1 cm unlike 'organ function change' , internal e.g., not skin. 'Nervous tissue injury' is narrow e.g., not all wounds. 'Serious trauma, pain' overstates e.g., minor counts. A nurse defines e.g., Skin break' per 100% wound basis, a physiological fact. The text focuses on integrity, making the correct, precise definition.
Question 3 of 4
When patients are pulled up in bed rather than lifted, they are at increased risk for the development of a decubitus ulcer. What is the name given to the factor responsible for this risk?
Correct Answer: D
Rationale: Shearing force' increases ulcer risk when pulled. Sliding e.g., 45° tears vessels e.g., 50% ischemia unlike 'friction' , surface e.g., abrasion. 'Necrosis' is result e.g., not cause. 'Ischemia' follows e.g., effect. A nurse notes e.g., Shear damage' per 60% risk boost, a physiological factor. The text names shearing, making the correct, risk-naming term.
Question 4 of 4
A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?
Correct Answer: C
Rationale: I respect your wish not to look at it right now' is appropriate. Trauma e.g., amputation needs empathy e.g., 80% cope better unlike 'doesn't look bad' , dismissive e.g., invalidates. 'Must look someday' pressures e.g., not now. 'Won't go home' threatens e.g., punitive. A nurse says e.g., Your pace' per psychosocial care, a comfort must. The text supports respect, making the correct, patient-centered response.