ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 1 of 42
A teenager with rosacea should be educated that in addition to the "blush appearance" on the face, she should also assess for which of the following additional complications? Select all that apply.
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 2 of 42
What intervention should be included on a plan of care to prevent pressure ulcer development in healthcare settings?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 3 of 42
Which assessment finding indicates to the nurse that the patient is at high risk for developing a pressure injury?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 4 of 42
A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 5 of 42
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 6 of 42
Which intervention will the nurse use for an abscessed leg wound?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 7 of 42
A nurse is teaching a patient on home care how to apply hot packs to an infected leg ulcer. What statement by the patient indicates the need for further teaching?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 8 of 42
A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the medication, which statement by the patient indicates that further teaching is needed?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 9 of 42
The patient has a deep decubitus ulcer on the heel that is covered in thick necrotic tissue. Which term will the nurse use to describe the ulcer in the patient's medical record?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 10 of 42
One method of preventing sepsis in hospitalized clients is
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 11 of 42
Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN) (select the one that does not apply)?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 12 of 42
The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 13 of 42
A patient with muscular dystrophy is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 14 of 42
The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 15 of 42
The nurse is teaching the mother of an infant with otitis media to manage the associated fever and pain. Which instruction by the nurse is correct?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 16 of 42
The nurse is teaching a client with cellulitis about ways to promote healing and avoid future infections. Which client statements indicate that the teaching has been effective?Select the one that does not apply
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 17 of 42
Which of the following changes are normal in the elderly population? Select all that apply.
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 18 of 42
The nurse assesses a circular, flat, reddened lesion about 5 cm in diameter on a middle-aged patient's ankle. How should the nurse determine if the lesion is related to intradermal bleeding?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 19 of 42
The nurse is performing a moist-to-dry dressing. The nurse has prepared the supplies, solution, and removed the old dressing. In which order will the nurse implement the steps, starting with the first one? 1. Apply sterile gloves. 2. Cover and secure topper dressing. 3. Assess wound and surrounding skin. 4. Moisten gauze with prescribed solution. 5. Gently wring out excess solution and unfold. 6. Loosely pack until all wound surfaces are in contact with gauze.
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 20 of 42
The healthcare provider prescribes a client to have peak and trough blood levels drawn to evaluate the therapeutic effect of an IV antibiotic. When should the nurse schedule the blood samples to be drawn?Select the one that does not apply
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 21 of 42
What happens when the arrector pili muscles contract?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 22 of 42
A child has been admitted to the burn unit after pulling a pan of hot water off the stove. Given the fact that there is primarily second- and third-degree burns, the health care worker should prioritize care to focus on which of the following? Select all that apply.
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 23 of 42
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m2. What is the nurse's appropriate action?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 24 of 42
Which information obtained by the nurse about a patient with a lumbar vertebral compression fracture requires an immediate report to the health care provider?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 25 of 42
A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 26 of 42
An older adult client asks the nurse what can be done to decrease the risk of developing pneumonia. Which responses by the nurse are most appropriate? Select all that apply.
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 27 of 42
The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 28 of 42
When giving home care instructions to a patient who has comminuted left forearm fractures and a long-arm cast, which information should the nurse include?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 29 of 42
What teaching should the nurse provide regarding Aaron's ulcer with granulation tissue?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 30 of 42
The nurse is working in a primary care setting. Which clients should the nurse identify as being at high risk for influenza or its complications?Select the one that does not apply
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 31 of 42
The charge nurse for a medical-surgical unit is notified that a client with tuberculosis (TB) is being transported to the unit. Which actions for infection prevention are the most appropriate in this circumstance? Select all that apply.
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 32 of 42
What is the primary rationale for maintaining adequate hydration in clients with pneumonia?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 33 of 42
The nurse is caring for a group of patients. Which patient will the nurse see first?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 34 of 42
The nurse notes crackling sounds and a grating sensation with palpation of an older patient's elbow. How will this finding be documented?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 35 of 42
When planning care for a client with trachoma, which potential complication should the nurse consider?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 36 of 42
Which areas are most important for the nurse to observe for additional pressure ulcers?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 37 of 42
Which action should the nurse take before administering gentamicin (Garamycin) to a patient with acute osteomyelitis?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 38 of 42
The nurse is caring for a patient with a healing Stage III pressure ulcer. Upon entering the room, the nurse notices an odor and observes a purulent discharge, along with increased redness at the wound site. What is the next best step for the nurse?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 39 of 42
The nurse is providing discharge teaching for a client diagnosed with a urinary tract infection (UTI). The client is prescribed a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ). Which client statement indicates that teaching has been effective?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 40 of 42
The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 41 of 42
Which of the following best describes an unintentional wound?
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ATI RN · Fundamentals of Nursing Skin Integrity Questions
Question 42 of 42
What action should the nurse take regarding the positioning schedule?
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