ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which finding in a patient with a Colles’ fracture of the left wrist is most important to communicate immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D because prolonged capillary refill indicates compromised blood flow, potentially leading to ischemia or compartment syndrome. It is crucial to communicate this immediately to prevent tissue damage. Swelling (A) and severe pain (B) are common in fractures and should be managed but may not indicate immediate danger. A deformed appearance (C) is expected in a Colles' fracture and usually does not require immediate intervention.
Question 2 of 5
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
Correct Answer: D
Rationale: The correct answer is D: pain intensity. In Paget's disease, bone pain is a common symptom. Monitoring pain intensity helps assess the effectiveness of treatment. Changes in pain levels can indicate disease progression or response to medication. Oral intake (A), daily weight (B), and grip strength (C) are not direct indicators of Paget's disease progression or treatment effectiveness. Pain intensity is a key factor in evaluating the patient's response to calcitonin and ibandronate therapy.
Question 3 of 5
The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select the one that does not apply)?
Correct Answer: B
Rationale: The correct answer is B: Alopecia. This does not apply to an older adult who worked in landscaping. Alopecia is not typically associated with working in landscaping, while choices A, C, and D are more likely to be relevant due to sun exposure and skin irritation. Vitiligo may develop due to sun exposure, intertrigo can result from skin friction and moisture, and erythema can be caused by excessive sun exposure. Alopecia, which is hair loss, is not directly related to the work environment in landscaping.
Question 4 of 5
Which of the following disorders of the skin is most likely to respond to treatment with systemic antibiotics?
Correct Answer: A
Rationale: The correct answer is A: Acne vulgaris. Acne vulgaris is a skin disorder caused by bacterial overgrowth in hair follicles. Systemic antibiotics can target the bacteria and reduce inflammation, leading to improvement. Urticaria, atopic dermatitis, and verrucae are not primarily caused by bacterial infections, so systemic antibiotics would not be the first-line treatment for these conditions. Urticaria is usually treated with antihistamines, atopic dermatitis with topical corticosteroids, and verrucae with various topical treatments or procedures.
Question 5 of 5
A 44-year-old man has been brought to the emergency department with severe electrical burns resulting from a workplace accident. The most immediate threat to this client's survival at this time is:
Correct Answer: B
Rationale: The correct answer is B: Hemodynamic instability. In severe electrical burns, the most immediate threat is hemodynamic instability due to fluid shifts and potential cardiac arrhythmias. This can lead to shock and organ failure. Addressing hemodynamic stability is crucial to prevent further complications. Choice A: Infection is a concern in burn injuries but is not the most immediate threat to survival in this case. Choice C: Acute pain is important to manage but does not pose an immediate threat to survival. Choice D: Decreased protein synthesis and impaired healing are long-term consequences of burns and not the most immediate threat to survival in this scenario.