ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 1 of 42
Which term is commonly used by clients to describe conjunctivitis?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 2 of 42
An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of osteoporosis is
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 3 of 42
A client has just received the diagnosis of malignant melanoma, stage 3B. He asks the nurse what this means. The nurse should respond relaying which of the following information? Select all that apply.
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 4 of 42
The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 5 of 42
A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 6 of 42
The nurse is caring for a patient who has a wound drain with a collection device. The nurse notices that the collection device has a sudden decrease in drainage. Which action will the nurse take next?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 7 of 42
A nurse assessing a patient's wound documents the finding of purulent drainage. What is the composition of this type of drainage?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 8 of 42
A client from a nursing home arrives at an acute care facility for treatment related to complications of chronic obstructive pulmonary disease. A nurse performing the admission assessment notes the presence of a large stage III pressure ulcer. The client's child asks if the hospital can 'treat the sore.' What is the nurse's best initial response?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 9 of 42
What should the nurse recommend for a pregnant client who is concerned about a recent flu outbreak?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 10 of 42
An adult client is admitted to the hospital with a diagnosis of kidney stones. The healthcare provider prescribes IV fluids, x-rays, blood work, and a Foley catheter for the client. The nurse is caring for the client 3 days after admission and documents morning vital signs of 101°F, heart rate 92, respirations 25, and blood pressure 120/80. The urinary output has decreased, and the urine is cloudy and dark amber. Based on this data, which conclusion by the nurse is the most appropriate?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 11 of 42
The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 12 of 42
The wound care nurse visits a patient in the long-term care unit. The nurse is monitoring a patient with a Stage III pressure ulcer. The wound seems to be healing, and healthy tissue is observed. How should the nurse document this ulcer in the patient's medical record?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 13 of 42
After completing the health history, the nurse assessing the musculoskeletal system will begin by
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 14 of 42
A nurse is teaching a postoperative patient about essential nutrition for healing. What statement by the patient would indicate a need for more information?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 15 of 42
Which statement by a patient who has had an above-the-knee amputation indicates the nurse's discharge teaching has been effective?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 16 of 42
A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will the nurse include in the initial plan of care?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 17 of 42
What process accounts for the damaging effects of the sun's radiation?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 18 of 42
Which action will the nurse take when caring for a patient with osteomalacia?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 19 of 42
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates the patient can safely ambulate independently?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 20 of 42
How should the nurse respond to Aaron's statement about feeling discouraged?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 21 of 42
Which of the following patients is most at risk for a skin tear injury?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 22 of 42
The nurse is caring for a patient with a puncture wound. How much time must have passed since the patient's last tetanus toxoid vaccination for the patient to require an additional injection before being discharged from the emergency department?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 23 of 42
The nurse is teaching the parents of an infant who is diagnosed with acute otitis media. Which is the priority teaching point for these parents?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 24 of 42
What usually happens to the skin when there is a decrease in the amount of oxygen in the blood?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 25 of 42
The nurse is caring for a client with gangrene of the toe. Which collaborative intervention should the nurse anticipate preparing the client for?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 26 of 42
The nurse working in the dermatology clinic assesses a young adult female patient who has severe cystic acne. Which assessment finding is of concern related to the patient's prescribed isotretinoin?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 27 of 42
Upon learning that Aaron has a pressure-reducing gel chair cushion for his wheelchair, which action should the nurse take?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 28 of 42
The nurse is caring for a client who develops a fever and productive cough after abdominal surgery. Which orders should the nurse expect from the healthcare provider? Select all that apply.
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 29 of 42
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 30 of 42
A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 31 of 42
The nurse is caring for a client who is exhibiting signs of a systemic infection following surgery. Which diagnostic tests would the nurse anticipate being ordered? Select the one that does not apply
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 32 of 42
The nurse is caring for an older adult client who developed sepsis from a pressure ulcer while residing in a long-term care facility. The family asks how they can help prevent this from happening again in the future. Which response by the nurse is best?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 33 of 42
The nurse is planning care for a client recently diagnosed with tuberculosis (TB). The client lives alone in an apartment and will continue treatment at home. When reviewing the client's history, the nurse notes that the client has had trouble complying with medication regimens in the past. Which nursing diagnosis is a priority for this client?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 34 of 42
The nurse is caring for a patient who is immobile. The nurse wants to decrease the formation of pressure ulcers. Which action will the nurse take first?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 35 of 42
The nurse is caring for a client who has been diagnosed with orbital cellulitis. Which assessment finding should the nurse anticipate?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 36 of 42
How will the nurse obtain a culture of the patient's wound?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 37 of 42
A young adult arrives in the emergency department with ankle swelling and severe pain after twisting an ankle playing basketball. Which of these prescribed interprofessional interventions will the nurse implement first?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 38 of 42
The clinic health care worker notices that a client has a fungal infection on her nails that looks like the fungus is digesting the nail keratin. The nail appears opaque and white in color. The client states she has had this for years. The health care worker suspects the client has:
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 39 of 42
What is the best method to prevent the spread of infection to others when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 40 of 42
Before assisting a patient with ambulation 2 days after total hip arthroplasty, which action is most important for the nurse to take?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 41 of 42
A mother brings in her 6-year-old daughter with signs and symptoms of fever, reduced voiding, uncontrolled voiding, and pain during urination. The daughter is diagnosed with a urinary tract infection. Which nursing outcome is most appropriate for this client?
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ATI RN · Skin Integrity and Wound Care NCLEX Questions
Question 42 of 42
What happens when the body temperature rises above normal?
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