Skin Integrity and Wound Care Questions

ATI RN · Skin Integrity and Wound Care Questions

Question 1 of 42

The provider has ordered fluid administration for a pediatric client with pneumonia. The client weighs 81.6 lb (37 kg). The nurse should expect to administer ________ mL of fluid per day for this client.

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ATI RN · Skin Integrity and Wound Care Questions

Question 2 of 42

The nurse is caring for a client who is hospitalized for cellulitis of the foot. Which nursing diagnoses should the nurse use to plan this client's care? Select the one that does not apply

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ATI RN · Skin Integrity and Wound Care Questions

Question 3 of 42

An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?

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ATI RN · Skin Integrity and Wound Care Questions

Question 4 of 42

When patients are pulled up in bed rather than lifted, they are at increased risk for the development of a decubitus ulcer. What is the name given to the factor responsible for this risk?

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ATI RN · Skin Integrity and Wound Care Questions

Question 5 of 42

Which assessment charting indicates that the wound is healing by primary intention?

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ATI RN · Skin Integrity and Wound Care Questions

Question 6 of 42

A patient has a new order for magnetic resonance imaging (MRI) to evaluate possible left femur osteomyelitis after hip arthroplasty surgery. Which information indicates the nurse should consult with the health care provider before scheduling the MRI?

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ATI RN · Skin Integrity and Wound Care Questions

Question 7 of 42

The nurse is caring for a client who refuses treatment for otitis media. The nurse correctly teaches the client that she is at increased risk for developing which condition?

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ATI RN · Skin Integrity and Wound Care Questions

Question 8 of 42

The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select the one that does not apply)?

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ATI RN · Skin Integrity and Wound Care Questions

Question 9 of 42

Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?

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ATI RN · Skin Integrity and Wound Care Questions

Question 10 of 42

The nurse is caring for a client who presents with acute malaise, muscle aches, and fever. Which additional assessment findings should the nurse recognize as consistent with influenza? Select the one that does not apply

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ATI RN · Skin Integrity and Wound Care Questions

Question 11 of 42

The nurse is caring for a client who is admitted to the unit with tuberculosis (TB). Which type of isolation room is most appropriate?

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ATI RN · Skin Integrity and Wound Care Questions

Question 12 of 42

The nurse is caring for a postoperative medial meniscus repair of the right knee. Which action should the nurse take to assist with pain management?

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ATI RN · Skin Integrity and Wound Care Questions

Question 13 of 42

A tennis player has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?

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ATI RN · Skin Integrity and Wound Care Questions

Question 14 of 42

The nurse is caring for a patient with a Stage IV pressure ulcer. Which type of healing will the nurse consider when planning care for this patient?

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ATI RN · Skin Integrity and Wound Care Questions

Question 15 of 42

A nurse is caring for a patient with a wound. Which assessment data will be most important for the nurse to gather with regard to wound healing?

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ATI RN · Skin Integrity and Wound Care Questions

Question 16 of 42

A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?

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ATI RN · Skin Integrity and Wound Care Questions

Question 17 of 42

What is the most accurate definition of a wound?

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ATI RN · Skin Integrity and Wound Care Questions

Question 18 of 42

A 44-year-old man has been brought to the emergency department with severe electrical burns resulting from a workplace accident. The most immediate threat to this client's survival at this time is:

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ATI RN · Skin Integrity and Wound Care Questions

Question 19 of 42

The nurse is caring for a client who is receiving IV antibiotics for the treatment of a Staphylococcus aureus infection. Which nursing interventions are appropriate when providing care to this client? Select the one that does not apply

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ATI RN · Skin Integrity and Wound Care Questions

Question 20 of 42

Which cells are the most abundant in the epidermis?

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ATI RN · Skin Integrity and Wound Care Questions

Question 21 of 42

A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for arthroplasty of several joints in the left hand. Which patient statement to the nurse indicates a realistic expectation for the surgery?

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ATI RN · Skin Integrity and Wound Care Questions

Question 22 of 42

Which intervention is important to reduce the effect of the diarrhea on Aaron's skin?

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ATI RN · Skin Integrity and Wound Care Questions

Question 23 of 42

Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?

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ATI RN · Skin Integrity and Wound Care Questions

Question 24 of 42

List the pathophysiology concepts related to the onset of sepsis in sequential order.

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ATI RN · Skin Integrity and Wound Care Questions

Question 25 of 42

Which action will the nurse take in order to evaluate the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?

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ATI RN · Skin Integrity and Wound Care Questions

Question 26 of 42

An older adult client is admitted with pneumonia. Which manifestations would the nurse expect to find when assessing this client? Select all that apply.

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ATI RN · Skin Integrity and Wound Care Questions

Question 27 of 42

The nurse is caring for a patient with a healing Stage III pressure ulcer. The wound is clean and granulating. Which health care provider's order will the nurse question?

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ATI RN · Skin Integrity and Wound Care Questions

Question 28 of 42

The sacral area has remained red for two hours and does not blanch when tested. How will the nurse document this finding?

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ATI RN · Skin Integrity and Wound Care Questions

Question 29 of 42

Which of the following disorders of the skin is most likely to respond to treatment with systemic antibiotics?

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ATI RN · Skin Integrity and Wound Care Questions

Question 30 of 42

The nurse is assessing a college student who presents with red, swollen eyes; photophobia; and yellowish drainage from the conjunctiva. Which question should the nurse ask the client first?

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ATI RN · Skin Integrity and Wound Care Questions

Question 31 of 42

A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of

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ATI RN · Skin Integrity and Wound Care Questions

Question 32 of 42

Which task can the nurse delegate to the nursing assistive personnel?

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ATI RN · Skin Integrity and Wound Care Questions

Question 33 of 42

The nurse is providing teaching to parents about urinary tract infections (UTIs) in preschool children. The nurse should inform the parents that which of the following are common symptoms of UTI in this age group? Select all that apply.

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ATI RN · Skin Integrity and Wound Care Questions

Question 34 of 42

The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget's disease will consider the patient's

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ATI RN · Skin Integrity and Wound Care Questions

Question 35 of 42

The nurse encourages Aaron to select which breakfast items to provide a good source of protein?

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ATI RN · Skin Integrity and Wound Care Questions

Question 36 of 42

Which finding in a patient with a Colles' fracture of the left wrist is most important to communicate immediately to the health care provider?

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ATI RN · Skin Integrity and Wound Care Questions

Question 37 of 42

Which factor contributes to pressure injury formation when patient's body slides downward to the foot of the bed?

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ATI RN · Skin Integrity and Wound Care Questions

Question 38 of 42

A 5-year-old girl has been presented for care by her father due to her recent development of macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her primary symptom is extreme pruritus. What disorder of the skin should the clinician who is assessing the child first suspect?

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ATI RN · Skin Integrity and Wound Care Questions

Question 39 of 42

Which is the first intervention of the nurse for changing the dressing to a painful burn?

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ATI RN · Skin Integrity and Wound Care Questions

Question 40 of 42

After a motorcycle accident, a patient arrives in the emergency department with severe swelling of the left lower leg. Which action will the nurse take first?

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ATI RN · Skin Integrity and Wound Care Questions

Question 41 of 42

The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates additional patient teaching is needed?

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ATI RN · Skin Integrity and Wound Care Questions

Question 42 of 42

A teenaged male patient who is on a wrestling team is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?

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