NCLEX Practice Questions Skin Integrity and Wound Care

ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 1 of 43

The nurse is completing an assessment on a patient with a Stage IV pressure ulcer. The wound is odorous, and a drain is currently in place. Which statement by the patient indicates issues with self-concept?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 2 of 43

During the assessment of these high-risk areas, the nurse finds no redness, but the underlying tissue feels spongy. What action should the nurse implement?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 3 of 43

A nurse is assessing a patient with a stage IV pressure ulcer. What assessment of the ulcer would be expected?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 4 of 43

Which glands' secretions are metabolized by bacteria to produce most body odor?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 5 of 43

Which of the following actions involves the greatest risk of skin shearing?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 6 of 43

After laminectomy with a spinal fusion to treat a herniated disc, a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 7 of 43

Heat applications are often used to promote tissue healing. What is the rationale for this type of treatment?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 8 of 43

Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 9 of 43

The nurse is caring for a patient who is at risk for skin impairment. The patient is able to sit up in a chair. The nurse includes this intervention in the plan of care. How long should the nurse schedule the patient to sit in the chair?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 10 of 43

The nurse is caring for a surgical patient. Which intervention is most important for the nurse to complete to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 11 of 43

A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 12 of 43

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 13 of 43

After change-of-shift report, which patient should the nurse assess first?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 14 of 43

Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 15 of 43

What equipment will the nurse use to assess the length of a sinus tract?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 16 of 43

Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 17 of 43

Necrosis of respiratory epithelial cells and shedding of serous and ciliated cells of the respiratory tract produce which common symptom of influenza?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 18 of 43

The nurse is providing care for a pediatric client with bacterial conjunctivitis. Which interventions should the nurse use as part of the collaborative management of the client? Select the one that does not apply

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 19 of 43

The nurse in an urgent care center assesses a 40-year-old adult client who presents with a fever of 101.2Â°F and complaints of painful urination. What should the nurse ask to elicit further data that indicate cystitis?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 20 of 43

The nurse's discharge teaching for a patient who has had a repair of a fractured mandible will include information about

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 21 of 43

A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse assess this patient for cyanosis?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 22 of 43

The second day after admission with a fractured pelvis, a patient suddenly develops confusion. Which action should the nurse take first?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 23 of 43

A nurse is providing care for four clients on a medical-surgical unit. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? (Select the one that does not apply.)

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 24 of 43

The nurse is providing discharge instructions to a client recovering from cellulitis. Which client statement indicates that this teaching has been effective?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 25 of 43

What are the two major processes involved in the inflammatory phase of wound healing?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 26 of 43

Which information obtained during the nurse's assessment of a patient's nutritional-metabolic pattern may indicate increased risk for musculoskeletal problems?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 27 of 43

Which actions will the nurse include in the plan of care for a patient with metastatic bone cancer of the left femur(select the one that does not apply)?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 28 of 43

A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been effective?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 29 of 43

The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 30 of 43

The nurse is working on a medical-surgical unit that has been participating in a research project associated with pressure ulcers. Which risk factor will the nurse assess for that predisposes a patient to pressure ulcer development?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 31 of 43

The nurse is caring for a client with pneumonia. Which intervention should the nurse include in this client's plan of care to promote effective airway clearance?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 32 of 43

A client has been admitted to the intensive care unit of the hospital after developing toxic epidermal necrolysis (TEN) consequent to the administration of a sulfonamide antibiotic. What pathophysiologic phenomenon is likely the greatest immediate threat to this client's health?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 33 of 43

A type of infection that is associated with the delivery of healthcare services in a facility such as a hospital or nursing home is called a(n)

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 34 of 43

What is the primary advantage of a hydrogel dressing for wound healing?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 35 of 43

The nurse is providing teaching on preventing sepsis. Which should the nurse include as a major risk factor for the development of this health problem?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 36 of 43

The patient has a nonblanchable area of redness on the right malleolus. Which pressure injury stage will be recorded in the patient's chart?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 37 of 43

The nurse correctly explains to a young mother that bottle-feeding an infant in the upright position may help to prevent which infectious health problem?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 38 of 43

Which of the following is a normal function of the skin?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 39 of 43

The nurse is preparing to assess an older adult client admitted with tuberculosis. Which assessment finding does the nurse anticipate?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 40 of 43

A nurse is planning an in-service on preventing infection for the staff nurses on a hospital's medical-surgical unit. Which of the following should be the priority teaching point for this in-service?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 41 of 43

The nurse caring for a client at risk for tuberculosis (TB) should include which symptoms of the disease when educating the client? Select all that apply.

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 42 of 43

The nurse is caring for a patient who has experienced a laparoscopic appendectomy. For which type of healing will the nurse focus the care plan?

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ATI RN · NCLEX Practice Questions Skin Integrity and Wound Care

Question 43 of 43

Protective functions of the skin include all of the following except protection

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