ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
Which nursing action for a patient who has had right hip arthroplasty can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: The correct answer is A: Reposition the patient every 1 to 2 hours. This task can be safely delegated to experienced UAP as it involves a routine activity to prevent pressure ulcers and maintain circulation. UAPs are trained and competent in repositioning techniques. Repositioning is crucial after hip arthroplasty to prevent complications like pressure ulcers and deep vein thrombosis. Other Choices: B: Assess for skin irritation on the patient’s back - This requires nursing assessment and critical thinking skills. UAPs are not qualified to assess for skin issues. C: Teach the patient quadriceps-setting exercises - This involves patient education and requires nursing knowledge. UAPs should not provide patient education. D: Determine the patient’s pain intensity and tolerance - Pain assessment is a nursing responsibility that requires clinical judgment and expertise. UAPs should not assess or determine pain levels.
Question 4 of 5
When assessing for Tinel’s sign in a patient with possible right carpal tunnel syndrome, the nurse will ask the patient about
Correct Answer: D
Rationale: The correct answer is D because Tinel's sign in carpal tunnel syndrome manifests as tingling in the thumb and index finger due to compression of the median nerve. This occurs when tapping over the carpal tunnel elicits tingling or pins and needles sensation. Weakness in the right little finger (A), burning in the right elbow and forearm (B), and tremor when gripping with the right hand (C) are not typically associated with Tinel's sign or specific to carpal tunnel syndrome.
Question 5 of 5
A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: How to monitor and care for a long-term IV catheter. This is crucial as the patient may require ongoing IV antibiotics after discharge. Proper care can prevent infections and complications. Warm packs (choice A) may not be recommended for osteomyelitis. Daily aerobic exercise (choice C) is not directly related to IV antibiotic therapy. Taking oral antibiotics post-discharge (choice D) is not the focus of IV catheter care.