ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
There is one opening in the schedule at the dermatology clinic, and four patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
Correct Answer: B
Rationale: The correct answer is B (38-year-old with a 7-mm nevus on the face that has recently become darker) because changes in the color, shape, or size of a mole could indicate melanoma, a type of skin cancer. This patient's symptoms require immediate evaluation. Choice A (50-year-old with skin redness after a chemical peel) is likely post-inflammatory erythema, which is a common side effect and not an urgent issue. Choice C (62-year-old with papules in axillary areas) is likely skin tags, which are benign and not urgent. Choice D (42-year-old with itching after using topical fluorouracil) is a common side effect and can usually wait for a regular appointment.
Question 2 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 3 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 4 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 5 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.