ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. What is the nurse’s most important action?
Correct Answer: C
Rationale: The correct answer is C: Consult with the health care provider about the need for further diagnostic testing. The nurse's most important action is to investigate the underlying cause of the patient's symptoms, as dry, scaly skin; thin hair; and thick, brittle nails can be indicative of various underlying health conditions such as thyroid disorders, nutritional deficiencies, or skin disorders. By consulting with the health care provider for further diagnostic testing, the nurse can determine the root cause of the symptoms and develop an appropriate treatment plan. Choice A is incorrect because while nutrition is important for skin health, the patient's symptoms may be indicative of a more serious underlying health issue that needs to be addressed first. Choice B is incorrect as referring to a podiatrist for nail trimming does not address the underlying cause of the symptoms. Choice D is incorrect as using moisturizing creams may provide temporary relief but does not address the root cause of the issue.
Question 2 of 5
A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA) testing. The nurse will plan to
Correct Answer: A
Rationale: The correct answer is A: explain the procedure. This is important because in a DXA testing, there is no contrast medium or sedative required, so starting an IV line for contrast medium injection (B) and giving an oral sedative (C) are unnecessary. Screening for allergies to shellfish or iodine products (D) is also irrelevant since these are not used in DXA testing. A thorough explanation of the procedure ensures the patient understands what to expect and can help alleviate any anxiety or concerns they may have.
Question 3 of 5
Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?
Correct Answer: C
Rationale: The correct answer is C: Use pillows to elevate the ankle above the heart. Elevating the ankle helps reduce swelling by promoting venous return and decreasing fluid accumulation. This position also helps with pain management. Choice A is incorrect as wrapping the ankle too loosely may not provide adequate support. Choice B is incorrect because heat can increase swelling and inflammation. Choice D is incorrect as moving the ankle through the range of motion can worsen the injury.
Question 4 of 5
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which nursing assessment finding indicates a potential complication of the fracture?
Correct Answer: B
Rationale: The correct answer is B because a distended abdomen and absent bowel sounds can indicate internal bleeding or organ damage, common complications of pelvic fractures. This suggests potential abdominal compartment syndrome or intra-abdominal hemorrhage. Choices A and C are typical symptoms of a pelvic fracture and do not specifically indicate a complication. Choice D may be common due to the impact of the crash but does not directly indicate a complication like internal bleeding.
Question 5 of 5
Which action will the nurse include in the plan of care for a patient who had a cemented right total knee arthroplasty?
Correct Answer: D
Rationale: The correct answer is D because starting progressive knee exercises is essential for regaining strength and mobility post total knee arthroplasty. This will help prevent stiffness and promote healing. Choice A is incorrect as full extension is crucial to prevent contractures. Choice B is incorrect because keeping the knee flexed can lead to stiffness and limited range of motion. Choice C is incorrect as weight-bearing is usually encouraged early on to promote healing and prevent muscle atrophy.