ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 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 2 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 3 of 5
A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for
Correct Answer: A
Rationale: The correct answer is A: a knee immobilizer. This is important to prevent further injury and stabilize the knee joint after a patellar dislocation. Immobilization helps in reducing pain, preventing more dislocations, and promoting healing. Gentle knee flexion (B) may worsen the dislocation. Monitored anesthesia care (C) is not necessary for patient teaching. Physical activity restrictions (D) may be important but are not the immediate focus of patient teaching for a patellar dislocation.
Question 4 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 5 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.