Skin Integrity and Wound Care NCLEX Questions Quizlet

ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 1 of 42

What organism is most commonly responsible for cellulitis?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 2 of 42

The nurse is caring for a patient who has perineal skin breakdown after sitting in wet underclothes for many hours. Which term will be used to document the patient's condition in the medical record?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 3 of 42

The nurse is caring for a patient who is to be discharged from the hospital 4 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 4 of 42

The nurse is caring for a group of clients with influenza. Which client should the nurse identify as being at greatest risk for complications?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 5 of 42

The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 6 of 42

The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 7 of 42

The occupational health nurse will teach the patient whose job involves many hours of typing to

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 8 of 42

A home care nurse makes the following assessments of a wound: increased drainage and pain, increased body temperature, red and swollen wound, and purulent wound drainage. What wound complication do these assessments indicate?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 9 of 42

There is one opening in the schedule at the dermatology clinic, and four patients are seeking appointments today. Which patient will the nurse schedule for the available opening?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 10 of 42

The nurse is teaching a class on infection control. Which nursing measure is most appropriate in breaking a link in the chain of infection?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 11 of 42

A student nurse studying anatomy and physiology learns that the largest organ of the body is the:

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 12 of 42

Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 13 of 42

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?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 14 of 42

Which finding supports the nurse's evaluation that an older adult client with sepsis has maintained a normal mental status?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 15 of 42

The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. Which health care team member will the nurse consult?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 16 of 42

During assessment of the patient's skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 17 of 42

Which of the following interventions should be questioned if a resident of a long-term-care facility has a skin tear on his lower right leg?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 18 of 42

A patient who has had open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 19 of 42

The nurse is admitting an older patient from a nursing home. During the assessment, the nurse notes a shallow open reddish, pink ulcer without slough on the right heel of the patient. How will the nurse stage this pressure ulcer?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 20 of 42

The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which statement should the nurse include in the presentation?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 21 of 42

A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 22 of 42

What are the macrophages found in the epidermis called?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 23 of 42

The nurse is bathing a client and discovers a pressure ulcer on the buttocks. Which nursing intervention, following completion of the bath, is completed first?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 24 of 42

When assessing for Tinel's sign in a patient with possible right carpal tunnel syndrome, the nurse will ask the patient about

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 25 of 42

Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 26 of 42

Considering Aaron's developmental stage, the nurse's plan of care emphasizes interaction with which group?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 27 of 42

The body structure that provides a route by which infections organisms can enter the middle ear to cause otitis media is the

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 28 of 42

What documentation best describes the drainage from Aaron's wound?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 29 of 42

The nurse is cleansing a wound site. As the nurse administers the procedure, which intervention should be included?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 30 of 42

A nurse is caring for a postoperative patient. Which finding will alert the nurse to a potential wound dehiscence?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 31 of 42

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

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 32 of 42

The nurse is caring for a patient who has a Stage IV pressure ulcer with grafted surgical sites. Which specialty bed will the nurse use for this patient?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 33 of 42

Which patient would benefit from soaking in a sitz bath?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 34 of 42

Which nursing action for a patient who has had right hip arthroplasty can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 35 of 42

Which of the following clients would be predisposed to developing a yeast-like Candida albicans fungal infection?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 36 of 42

The nurse is providing teaching to the family of an older adult client with a urinary tract infection (UTI). Which common early symptom that is likely to occur in older adults should the nurse stress?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 37 of 42

The nurse caring for a client with a malignant melanoma should prepare the client for which of the following treatments? Select all that apply.

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 38 of 42

The nurse is caring for a client who is admitted with cellulitis of the foot. Which assessment findings support this diagnosis?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 39 of 42

Which of the following clinical manifestations would lead the health care provider to diagnose the sunburn as severe?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 40 of 42

An occupational health nurse is screening a new employee in a long-term care facility for tuberculosis (TB). The employee questions why purified protein derivative (PPD) testing is done twice. Which is the most appropriate response by the nurse?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 41 of 42

What nursing diagnosis would be a priority for a patient who has a large wound from colon surgery, is obese, and is taking corticosteroid medications?

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ATI RN · Skin Integrity and Wound Care NCLEX Questions Quizlet

Question 42 of 42

Which of the following is not one of the four distinct patterns of pneumonia?

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