ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 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.
Question 2 of 5
When giving home care instructions to a patient who has comminuted left forearm fractures and a long-arm cast, which information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Call the health care provider for numbness of the hand. In a patient with comminuted left forearm fractures and a long-arm cast, numbness could indicate compartment syndrome, a serious complication. Prompt intervention is crucial to prevent tissue damage. Keeping the shoulder elevated (A) is important for comfort but not directly related to the fractures. Avoiding NSAIDs (B) is generally recommended for fractures due to their potential to delay healing. Keeping the hand immobile (D) is important, but it does not address the potential emergency situation of developing compartment syndrome.
Question 3 of 5
A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
Correct Answer: C
Rationale: The correct initial action by the nurse in this scenario is to assess the pedal pulses (Choice C). This is crucial to determine the circulation and perfusion status of the injured limb. If the pedal pulses are absent or weak, it indicates compromised blood flow, which is a medical emergency requiring immediate intervention. Elevating the right leg (Choice A) may worsen circulation if pulses are weak. Splinting the lower leg (Choice B) should only be done after assessing the pulses. Verifying tetanus immunization (Choice D) is important but not the immediate priority in this situation.
Question 4 of 5
Which information obtained by the nurse about a patient with a lumbar vertebral compression fracture requires an immediate report to the health care provider?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Incontinence of urine and stool indicates potential spinal cord injury or nerve compression, requiring immediate evaluation. 2. Choice A is important but does not indicate a life-threatening condition. 3. Choice C is expected with a lumbar vertebral compression fracture and can be managed conservatively. 4. Choice D is relevant for long-term management but does not require immediate intervention.
Question 5 of 5
A patient with muscular dystrophy is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Logroll the patient every 2 hours. This is crucial for a patient with muscular dystrophy due to their weakened muscles, which can lead to pressure ulcers if not repositioned regularly. Logrolling helps prevent skin breakdown and maintains proper body alignment. Incorrect choices: B: Assisting with ambulation is not appropriate for a patient with muscular dystrophy as they have muscle weakness and mobility limitations. C: Discussing genetic testing may be important for diagnosis but is not a priority during hospitalization for pneumonia. D: Teaching about muscle biopsy is not directly related to the immediate care needs of a patient with pneumonia and muscular dystrophy.