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ATI RN · ATI Fundamentals · Fundamentals of Nursing Skin Integrity Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A teenager with rosacea should be educated that in addition to the "blush appearance" on the face, she should also assess for which of the following additional complications? Select all that apply.

A. Inflamed and tender axillary lymph nodes
B. Eye problems
C. Edema of the eyelids
D. Large abscesses on the upper arms and neck

Expert Explanatory Rationale

Correct Answer: Edema of the eyelids

Question 2 of 5

What intervention should be included on a plan of care to prevent pressure ulcer development in healthcare settings?

A. Change position at least once each shift.
B. Implement a turning schedule every 2 hours.
C. Use ring cushions for heels and elbows.
D. Do not turn, use pressure-relieving support surface.

Expert Explanatory Rationale

Correct Answer: Implement a turning schedule every 2 hours.

Question 3 of 5

Which assessment finding indicates to the nurse that the patient is at high risk for developing a pressure injury?

A. Serum total protein level of 4.6 g/dL
B. Braden Scale score of 22
C. Cetirizine 5 mg PO daily
D. Fasting serum glucose level 84 mg/dL

Expert Explanatory Rationale

Correct Answer: Serum total protein level of 4.6 g/dL

Question 4 of 5

A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to

A. elevate the right leg.
B. splint the lower leg.
C. assess the pedal pulses.
D. verify tetanus immunization.

Expert Explanatory Rationale

Correct Answer: assess the pedal pulses.

Question 5 of 5

The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?

A. 12
B. 13
C. 20
D. 23

Expert Explanatory Rationale

Correct Answer: 23

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