ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient who has had open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?
Correct Answer: A
Rationale: The correct answer is A: Notify the health care provider. In this scenario, the patient's severe pain, faint pulses, and cool foot suggest a potential complication such as compartment syndrome, which is a medical emergency. Notifying the health care provider immediately is crucial for prompt evaluation and intervention to prevent further complications. Repositioning the leg on pillows (choice C) may worsen the condition, assessing the incision for redness (choice B) is not the priority in this situation, and checking the patient's blood pressure (choice D) does not directly address the urgent issue at hand.
Question 5 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.