ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 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.
Question 2 of 5
Which action will the urgent care nurse take for a patient with a possible knee meniscus injury?
Correct Answer: B
Rationale: The correct answer is B: Apply an immobilizer to the affected leg. This action helps stabilize the knee joint and prevent further injury to the meniscus. Immobilization aids in reducing pain and inflammation by limiting movement. It also allows for proper healing of the injured area. Encouraging bed rest (A) is not ideal as some movement is necessary for recovery. Avoiding palpation or movement (C) does not address the need for stabilization. Administering intravenous opioids (D) may help manage pain but does not address the primary concern of stabilizing the knee joint.
Question 3 of 5
A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The nurse identifies a need for additional teaching related to health maintenance when the nurse finds that the patient
Correct Answer: C
Rationale: The correct answer is C because the inability to plantar flex the foot on the affected side indicates a potential complication related to the osteomyelitis. This could suggest nerve damage, muscle weakness, or worsening infection. Proper plantar flexion is essential for mobility and muscle function. Incorrect choices: A: Frustration with treatment length is common but does not directly impact health maintenance. B: Taking and recording oral temperature is a routine monitoring activity and shows the patient is engaged in self-care. D: Using crutches to avoid weight bearing is a protective measure to prevent further damage to the affected leg and is appropriate for osteomyelitis management.
Question 4 of 5
Which menu choice by a patient with osteoporosis indicates the nurse’s teaching about appropriate diet has been effective?
Correct Answer: D
Rationale: The correct answer is D because it includes foods rich in calcium and vitamin D, essential for bone health in osteoporosis. Oatmeal provides fiber, while skim milk and fruit yogurt offer calcium and protein. Egg whites lack the vitamin D found in dairy products, and grapefruit may interact with certain medications. Pancakes with syrup and bacon are high in saturated fats and sugars, not beneficial for bone health. Whole wheat toast and fresh fruit are nutritious but lack the calcium and vitamin D needed for osteoporosis management.
Question 5 of 5
A nurse who works on the orthopedic unit has just received change-of-shift report. Which patient should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B because urinary retention post-laminectomy can lead to serious complications like bladder distension and renal impairment. Assessing and addressing the patient's voiding status promptly is crucial. Choices A, C, and D all have important issues but do not pose immediate risks to the patient's physiological stability compared to urinary retention.