ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse working in the dermatology clinic assesses a young adult female patient who has severe cystic acne. Which assessment finding is of concern related to the patient’s prescribed isotretinoin?
Correct Answer: A
Rationale: The correct answer is A because isotretinoin is a teratogenic medication, meaning it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for females of childbearing age to use effective contraception while on isotretinoin to prevent pregnancy. The removal of the intrauterine device raises concerns about the patient's contraception method and potential risk of pregnancy. Choice B is incorrect because acne scarring does not directly impact the safety or effectiveness of isotretinoin treatment. Choice C is incorrect as the use of topical antibiotics does not directly affect the use of isotretinoin. Choice D is incorrect as a family history of rheumatoid arthritis is not a contraindication or concern specifically related to isotretinoin treatment.
Question 2 of 5
A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
Correct Answer: D
Rationale: Correct Answer: D - Modifying arm movements Rationale: Modifying arm movements is crucial in managing repetitive strain syndrome to prevent further damage and alleviate symptoms. This approach focuses on changing the way the worker performs tasks to reduce strain on the affected area. By teaching the patient how to adjust their movements, the nurse can help prevent exacerbation of symptoms and promote healing. Summary: A: Surgical options are not typically the first-line treatment for repetitive strain syndrome and are usually considered only when conservative measures have failed. B: Elbow injections may provide temporary relief but do not address the root cause of the issue, which is repetitive strain from improper movements. C: Wearing a left wrist splint may provide support but does not address the root cause of the issue, which is the strain on the elbow from repetitive movements.
Question 3 of 5
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates the patient can safely ambulate independently?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates proper crutch walking technique. By advancing the left leg and both crutches together first, the patient maintains non-weight bearing on the left leg. Then, advancing the right leg allows for a smooth and balanced gait pattern. Choice A is incorrect because it would result in weight-bearing on the left leg when the right crutch is moved with the right leg. Choice C is incorrect as the patient should not rely on external support like a bedside chair for balance during ambulation. Choice D is incorrect as the crutch should not be placed firmly in the axillary area to avoid nerve damage.
Question 4 of 5
Which statement by a patient who has had an above-the-knee amputation indicates the nurse’s discharge teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B because lying flat on the abdomen helps prevent hip flexion contractures after an above-the-knee amputation. This position stretches the hip flexors and prevents shortening of these muscles, maintaining flexibility. It also facilitates proper alignment of the residual limb, reducing the risk of contractures. Choices A, C, and D are incorrect. A: Elevating the residual limb on a pillow is not the most effective way to prevent contractures. C: Changing the limb sock is important for hygiene but not directly related to preventing contractures. D: Using lotion on the stump is beneficial for skin care but does not address the prevention of contractures.
Question 5 of 5
A young adult arrives in the emergency department with ankle swelling and severe pain after twisting an ankle playing basketball. Which of these prescribed interprofessional interventions will the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B: Wrap the ankle and apply an ice pack. This intervention addresses immediate pain management and inflammation control, crucial in the initial management of an ankle injury. Wrapping the ankle helps stabilize it, while applying an ice pack reduces swelling and provides pain relief. X-rays (A) are important for diagnosing fractures but are not the first priority. Administering naproxen (C) or acetaminophen with codeine (D) can help with pain relief, but they are not as immediate as applying ice and wrapping the ankle. Ice and compression are the first-line interventions in acute ankle injuries.