ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 1 of 43
A client with a previously healed tuberculosis lesion experiences lesion rupture that leads to active disease. Which type of tuberculosis does this client have?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 2 of 43
Which action can the nurse delegate to unlicensed assistive personnel (UAP) who are working in the orthopedic clinic?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 3 of 43
What is the purpose of a wet-to-dry dressing?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 4 of 43
Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 5 of 43
Which medication information will the nurse identify as a potential risk to a patient's musculoskeletal system?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 6 of 43
A nurse is caring for a patient who is 2 days postoperative after abdominal surgery. What nursing intervention would be important to promote wound healing at this time?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 7 of 43
A patient with an enlarging, irregular mole that is 7 mm in diameter is scheduled for outpatient treatment. The nurse should plan to prepare the patient for which procedure?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 8 of 43
After being hospitalized for 3 days with a right femur fracture, a patient suddenly develops shortness of breath and tachypnea. The patient tells the nurse, 'I feel like I am going to die!' Which action should the nurse take first?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 9 of 43
A 1-month-old infant is admitted to the hospital with a temperature of 102°F. What is the rationale for a complete septic workup?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 10 of 43
Which priority element will the nurse consider when planning care to decrease the development of a decubitus ulcer for a patient who sustained a head injury and is unconscious?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 11 of 43
What etiology should the nurse identify for 'Impaired skin integrity'?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 12 of 43
The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 13 of 43
Which fibrous protein is responsible for the strength and water resistance of the skin surface?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 14 of 43
An adolescent client is brought to the emergency department (ED) with fatigue, weight loss, a dry cough, and night sweats. The family just recently immigrated to the United States. Based on this data, which potential risk should the nurse include when planning care for this client?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 15 of 43
Which is the priority nursing assessment for a patient wearing an abdominal binder after abdominal surgery?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 16 of 43
A client has completed the full course of antibiotics prescribed to treat otitis media. Which primary manifestation of the disorder will be relieved as evidence that treatment has been effective?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 17 of 43
Which of the following changes in aging skin best explains why an elderly person is at increased risk for a skin tear injury?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 18 of 43
Which agent can be used to destroy pathogens other than spores?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 19 of 43
A patient is admitted to the emergency department with a left femur fracture. Which information obtained by the nurse is most important to report to the health care provider?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 20 of 43
The nurse is providing discharge instructions for a client who has acute conjunctivitis from Staphylococcus. Which should the nurse include when teaching this client? Select the one that does not apply
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 21 of 43
During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 22 of 43
A patient presents to the emergency department with a laceration of the right forearm caused by a fall. After determining that the patient is stable, what is the next best step for the nurse to take?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 23 of 43
Papulosquamous dermatoses, such as psoriasis, are a group of skin disorders characterized by:
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 24 of 43
The most common type of upper urinary tract infection that results from bacteria ascending to the kidney from the lower respiratory tract is
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 25 of 43
When caring for a patient who is using Buck's traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 26 of 43
After the health care provider recommends amputation for a patient who has nonhealing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 27 of 43
When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 28 of 43
A 79-year-old client has been confined to bed after a severe hemorrhagic stroke that has caused hemiplegia. Which of the following measures should his care team prioritize in the prevention of pressure ulcers?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 29 of 43
The nurse is providing discharge teaching to a client recovering from pneumonia. Which client statement indicates that additional teaching is needed?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 30 of 43
Which of the following considerations should be made when assessing a patient for the application of cold or heat therapy?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 31 of 43
The patient has a large red, blistered area on the left hip. Which pressure injury stage will be recorded in the patient's chart?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 32 of 43
Hair follicles and fingernails originate in the but are actually derived from tissue.
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 33 of 43
Which action would be most helpful in preventing pressure ulcer formation in an at-risk client?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 34 of 43
The nurse is caring for a patient with a Stage IV pressure ulcer. Which nursing diagnosis does the nurse add to the care plan?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 35 of 43
The nurse is caring for a patient who is immobile and is at risk for skin impairment. The plan of care includes turning the patient. Which is the best method for repositioning the patient?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 36 of 43
A patient has a long-arm plaster cast applied for fracture immobilization. Until the cast has completely dried, the nurse should
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 37 of 43
The nurse is assessing a client who is recovering following surgery. Which factor would increase this client's susceptibility to infection?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 38 of 43
The nurse should reposition the patient who has just had a laminectomy and diskectomy by
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 39 of 43
When providing care to a client with a wound, which evidence-based interventions should the nurse anticipate carrying out? Select the one that does not apply
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 40 of 43
Because of the way the influenza virus is transmitted from person to person, nurses who are working with clients with influenza should implement
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 41 of 43
Which information will the nurse include when teaching a patient with acute low back pain (select the one that does not apply)?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 42 of 43
The nurse assesses a patient who has just arrived in the post-anesthesia recovery area (PACU) after a blepharoplasty. Which assessment data should be reported to the surgeon immediately?
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ATI RN · NCLEX Questions on Skin Integrity and Wound Care
Question 43 of 43
The nurse is caring for a patient in the burn unit. Which type of wound healing will the nurse consider when planning care for this patient?
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