ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A teenager reports ugly warts that have invaded her hands. She wants them gone before prom season. The nurse will likely be explaining which of the following treatment measures to this teenager?
Correct Answer: B
Rationale: The correct answer is B: Applying a keratolytic agent like salicylic acid. Salicylic acid is an effective treatment for warts as it helps remove the outer layer of the skin, allowing the wart to gradually diminish. Steroid creams (choice A) are not typically used for warts. Pulling the wart off with tweezers (choice C) can be painful and may lead to infection. Cryotherapy (choice D) should be done by a healthcare professional as it involves freezing the wart with liquid nitrogen. Salicylic acid is a safe and effective over-the-counter treatment for warts, making it the best choice for the teenager seeking a quick resolution before prom season.
Question 5 of 5
A thermal burn described as involving the entire epidermis and dermis is classified as:
Correct Answer: D
Rationale: The correct answer is D: Full-thickness second degree. This classification indicates a burn that extends through the entire epidermis and dermis. The term "full-thickness" implies involvement of both layers. Choice A (full third degree) is incorrect as it implies deeper tissue involvement beyond the dermis. Choice B (deep first degree) is incorrect as it suggests involvement of only the epidermis and deeper layers. Choice C (partial second degree) is incorrect because it implies involvement of only part of the dermis, not the entire thickness. Therefore, the most accurate classification for a burn involving the entire epidermis and dermis is full-thickness second degree.