ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?
Correct Answer: C
Rationale: The correct answer is C because skin wrinkling with tenting on both hands in an older patient with bacterial pneumonia is concerning for dehydration. Dehydration can exacerbate the pneumonia and lead to complications. Skin turgor is a key indicator of hydration status. Brown macules, allergic rashes, longitudinal nail ridges, and sparse scalp hair are not directly related to dehydration or bacterial pneumonia in this context. Brown macules may be age-related skin changes, allergic rashes indicate hypersensitivity reactions, longitudinal nail ridges can be a normal part of aging, and sparse scalp hair could be due to various factors unrelated to the pneumonia.
Question 2 of 5
A teenaged male patient who is on a wrestling team is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
Correct Answer: B
Rationale: The correct answer is B because papular, wheal-like lesions with white deposits on the hair shaft are characteristic of pediculosis (lice infestation). The white deposits are lice eggs (nits) attached to the hair shaft, indicating the presence of lice. This finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of lice. Sharing headgear can facilitate the transmission of lice from one person to another. Choice A is incorrect as ring-like rashes with red, scaly borders over the entire scalp are more indicative of ringworm (tinea capitis), a fungal infection, not pediculosis. Choice C is incorrect as patchy areas of alopecia with small vesicles and excoriated areas are more indicative of scalp folliculitis or herpes zoster, not pediculosis. Choice D is incorrect as red, hive-like papules and plaques with sharply circumscribed borders are
Question 3 of 5
An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?
Correct Answer: D
Rationale: The correct answer is D: Teach the use of cold packs to reduce bruising and swelling. Cold packs can help reduce inflammation, bruising, and swelling after a surgical procedure like Mohs surgery. This promotes healing and comfort for the patient. A: Scheduling daily appointments for dressing changes is not necessary for a post-Mohs procedure care plan as the dressing changes are typically done less frequently. B: Describing the use of topical fluorouracil is not relevant in the postoperative care of a patient who had a Mohs procedure as it is used for treating precancerous skin lesions, not for postoperative wound care. C: Teaching sterile technique to clean the suture line is important, but it is not the immediate priority in the postoperative care of a patient who had a Mohs procedure.
Question 4 of 5
A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of
Correct Answer: A
Rationale: The correct answer is A: a fluid-filled sac found at some joints. Bursitis is an inflammation of the bursa, which is a fluid-filled sac located near joints that helps reduce friction between bones, tendons, and muscles. The bursa can become inflamed due to overuse, trauma, or infection, leading to pain and swelling. Choices B, C, and D are incorrect because bursitis specifically involves the bursa, not the synovial membrane, connective tissue, or fibrocartilage within the joint. It is essential for the nurse to accurately explain the condition to the patient to ensure understanding and proper management.
Question 5 of 5
A patient has a new order for magnetic resonance imaging (MRI) to evaluate possible left femur osteomyelitis after hip arthroplasty surgery. Which information indicates the nurse should consult with the health care provider before scheduling the MRI?
Correct Answer: A
Rationale: The correct answer is A because having a pacemaker can pose a significant risk during an MRI due to potential interference with the device's function. Pacemakers can malfunction or heat up during the MRI procedure, leading to serious complications. Consulting with the healthcare provider is crucial to determine if special precautions or alternative imaging methods are needed. Choices B, C, and D are incorrect because: B: Claustrophobia can be managed with medication or relaxation techniques, and open MRI machines are available for claustrophobic patients. C: Hearing aids are generally safe during an MRI, and can be removed before the procedure if necessary. D: Allergies to shellfish do not pose a direct risk during an MRI unless contrast dye containing shellfish is used, in which case alternative contrast agents can be used.