ATI RN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?
Correct Answer: B
Rationale: The correct answer is B: Try to stay out of the direct sun between the hours of 10 AM and 2 PM. This is correct because UV radiation is strongest during these hours, so avoiding direct sun exposure at this time can significantly reduce the risk of sun damage. Choice A is incorrect because an SPF of at least 30 is recommended for adequate protection. Choice C is incorrect because water-resistant sunscreens may provide some protection but should be reapplied after swimming. Choice D is incorrect as increasing sun exposure can lead to skin damage rather than decrease the risk.
Question 2 of 5
The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?
Correct Answer: C
Rationale: The correct answer is C because applying a thick layer of corticosteroid cream can lead to overuse and potential side effects such as skin thinning. The appropriate amount of cream should be applied thinly and evenly to the affected area. Choice A is correct as taking a tepid bath can help cleanse the area before application. Choice B is correct as spreading the cream in a downward motion can prevent further irritation. Choice D is incorrect as covering the area with a dressing is not recommended for corticosteroid cream application, as it can lead to increased absorption and potential side effects.
Question 3 of 5
Which information in a 67-yr-old woman’s health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?
Correct Answer: B
Rationale: The correct answer is B. A significant height loss in the patient's mother with aging suggests potential osteoporosis, a musculoskeletal issue common in older women. This would prompt a more focused assessment of the patient's musculoskeletal system to evaluate for osteoporosis risk factors, such as family history. Choices A, C, and D do not directly relate to musculoskeletal health or risk factors for musculoskeletal conditions. A past ankle sprain at age 13 is not a current issue; taking ibuprofen for headaches is more related to the neurological system, and the father's cause of death does not provide relevant information for assessing the patient's musculoskeletal health.
Question 4 of 5
Which finding for a 77-yr-old patient seen in the outpatient clinic requires further nursing assessment and intervention?
Correct Answer: D
Rationale: The correct answer is D because a history of recent loss of balance and fall in an elderly patient may indicate potential underlying issues such as vestibular dysfunction, neurological problems, medication side effects, or musculoskeletal issues. Further assessment and intervention are crucial to prevent future falls and ensure patient safety. A: Symmetric joint swelling of fingers is common in older adults and may be related to arthritis or other degenerative conditions, but it does not necessarily require immediate intervention. B: Decreased right knee range of motion could be due to age-related changes or arthritis, which may warrant assessment but does not pose an immediate safety risk. C: Report of left hip aching when jogging may indicate musculoskeletal issues or overuse injury, but it does not pose an immediate safety concern that requires urgent intervention.
Question 5 of 5
A patient with a fracture of the left femoral neck has Buck’s traction in place while waiting for surgery. To assess for pressure areas on the patient’s back and sacral area and to provide skin care, the nurse should
Correct Answer: C
Rationale: The correct answer is C because using a trapeze to lift the buttocks slightly allows for pressure relief on the back and sacral area without compromising the traction. A: Loosening the traction can lead to displacement of the fracture and should be avoided. B: Placing a pillow between the legs does not directly address pressure areas on the back and sacral area. D: Turning the patient partially with assistance may not provide adequate pressure relief on the back and sacral area.