ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m2. What is the nurse’s appropriate action?
Correct Answer: D
Rationale: The correct answer is D: Ask the patient about a personal or family history of type 2 diabetes. This is important because individuals with darker skin pigmentation and obesity are at higher risk for developing type 2 diabetes. By inquiring about the patient's personal or family history of type 2 diabetes, the nurse can gather important information to assess the patient's risk factors and potentially intervene early. Summary of other choices: A: Discussing the use of drying agents to minimize infection risk may not address the underlying health concern related to darker skin pigmentation and obesity. B: Instructing the patient about the use of mild soap to clean skinfolds is important for hygiene but does not address the potential risk of type 2 diabetes. C: Teaching the patient about treating fungal infections in the skinfolds may be relevant if there is a current infection but does not address the broader health implications of darker skin pigmentation and obesity.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
Correct Answer: D
Rationale: The correct answer is D because x-rays showing complete bony union indicate proper healing of the fracture. This ensures that the bone is strong enough to bear weight and function normally. Choice A is incorrect as leaving the cast for several months is excessive. Choice B is incorrect as 3 weeks may not be sufficient for proper healing. Choice C is incorrect as swelling resolution does not guarantee complete healing.