ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which nursing action for a patient who has had right hip arthroplasty can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: The correct answer is A: Reposition the patient every 1 to 2 hours. This task can be safely delegated to experienced UAP as it involves a routine activity to prevent pressure ulcers and maintain circulation. UAPs are trained and competent in repositioning techniques. Repositioning is crucial after hip arthroplasty to prevent complications like pressure ulcers and deep vein thrombosis. Other Choices: B: Assess for skin irritation on the patient’s back - This requires nursing assessment and critical thinking skills. UAPs are not qualified to assess for skin issues. C: Teach the patient quadriceps-setting exercises - This involves patient education and requires nursing knowledge. UAPs should not provide patient education. D: Determine the patient’s pain intensity and tolerance - Pain assessment is a nursing responsibility that requires clinical judgment and expertise. UAPs should not assess or determine pain levels.
Question 2 of 5
A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: How to monitor and care for a long-term IV catheter. This is crucial as the patient may require ongoing IV antibiotics after discharge. Proper care can prevent infections and complications. Warm packs (choice A) may not be recommended for osteomyelitis. Daily aerobic exercise (choice C) is not directly related to IV antibiotic therapy. Taking oral antibiotics post-discharge (choice D) is not the focus of IV catheter care.
Question 3 of 5
A 54-yr-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following densitometry testing. In teaching the woman, the nurse explains that
Correct Answer: D
Rationale: The correct answer is D. Increasing calcium intake and weight-bearing exercise can help slow calcium loss from bones, which is crucial in managing osteopenia and preventing progression to osteoporosis. Calcium is essential for bone health, and weight-bearing exercises help strengthen bones. A: Incorrect. Family history of osteoporosis does not mean it cannot be prevented or slowed down. Lifestyle modifications can help manage the condition. B: Incorrect. Estrogen replacement therapy is not the only option for managing osteopenia. It may have risks and benefits that should be discussed with a healthcare provider. C: Incorrect. Corticosteroid treatment is not typically recommended for osteopenia or osteoporosis management. It can have adverse effects on bone health.
Question 4 of 5
Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?
Correct Answer: B
Rationale: The correct answer is B because assessing for numbness or tingling of the hands and arms is crucial to rule out potential serious conditions like cervical radiculopathy or nerve compression. This step helps determine the urgency of the situation and guides further assessment and management. Providing information about exercises (A), suggesting heat/cold therapy (C), or teaching about NSAIDs (D) can be appropriate interventions, but they should come after ruling out any immediate neurovascular concerns.
Question 5 of 5
Which of the following clients would be predisposed to developing a yeast-like Candida albicans fungal infection?
Correct Answer: B
Rationale: The correct answer is B because an immunosuppressed cancer client is more susceptible to Candida albicans infection due to weakened immunity. This client's maculopapular satellite lesions are characteristic of candidiasis. Choice A is unlikely as circular patches are more indicative of ringworm. Choice C is more likely to have athlete's foot caused by dermatophytes, not Candida. Choice D's rash with raised borders is more suggestive of a contact dermatitis or eczema, not a Candida infection.