WALDEN NRNP 6540 FINAL
COMPREHENSIVE EXAM// VERIFIED
QUESTIONS AND ANSWERS//
GUARANTEED PASS!!
1. The nurse practitioner is conducting patient rounds in a
long-term care facility. As she talks with Mrs. Jones, she
notices that her arms and elbows are excoriated and the
skin is shearing. The nurse practitioner explains to the staff
that Mrs. Jones needs frequent assessment of her skin and
protection provided to prevent skin breakdown because:
1. Her lack of activity causes the skin to tear.
2. Fat has redistributed to the abdomen and thighs, leaving
bony surfaces in areas such as the face, hands, and
sacrum. This can result in injury.
3. She has lost weight and is in jeopardy of falling.
4. She picks at herself and causes skin breakdown.
✔◻✔◻correct answer-2. Answer: 2
Page: 96
Feedback
1.
Lack of activity alone does not cause skin breakdown.
2.
Fat is redistributed to the abdomen and thighs, leaving bony
surfaces, such as the face, hands, and sacrum, exposed to
potential injury, especially skin tears from shearing, friction
forces and pressure ulcer development.
,3.
Although losing weight may be a risk factor for falling, it is
not directly related to skin breakdown.
4.
There is no evidence that she is picking at herself, as there
is nothing reported anywhere else on her arms.
2. Mr. James is 91 years old. His daughter notices that he
has bruises and lacerations on his arms and reports this to
the nurse practitioner, who tells her that older people bruise
easily due to their fragile blood vessels. The skin lacerations
happen because he has thin skin. Even so, the nurse
practitioner assures the daughter that she will investigate
further to ensure that he is getting proper care. She says
this because she understands that:
1. These markings on the patient's skin are part of aging
skin.
2. Bruises and lacerations can indicate inadequate care.
3.
1. Ms. Rose, 88 years old, comes to the nurse practitioner
with a complaint about a growth on her hand. She wants to
have a biopsy done. The nurse practitioner asks the
following question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings?
✔◻✔◻correct answer-5. Answer: 3
Page: 97
Feedback
1.
,An injury would not stimulate growth.
2.
A reaction to a detergent would more likely be a rash.
3.
Lesions that warrant biopsy are those that have changed,
bleed, or are painful.
4.
The ability to put on her ring is not the problem.
2. A 60-year-old male enters the burn center for triage and
treatment due to a burn he received at a campfire. His left
arm has an area that is erythematous and painful, and
another area has a blister. What does the nurse practitioner
record as the degree of burn?
1. First degree
2. Second degree
3. First and second degree
, 4. Second and third degree ✔◻✔◻correct answer-6.
Answer: 3
Page: 98
Feedback
1.
First-degree burns involving the epidermis are
erythematous and painful but do not blister.
2.
Second-degree burns involve the dermis and are
characterized by blisters.
3.
The patient presents with erythematous skin, painful with
blisters, which indicates both first- and second-degree burn
areas.
4.
In third-degree burns there is no sensation when the wound
is pinpricked.
3. The nurse practitioner is concerned with primary
prevention strategies. How can the nurse practitioner
implement primary prevention strategies for an 80-year-old
male patient who smokes?
1. Review home fire safety protocols, including the proper
use of smoke alarms, and discuss smoking cessation.
2. Inform him that if he does not stop smoking, the nurse
practitioner cannot see him again.
3. Have a conference with his family about his smoking.
4. Plan a family meeting with the patient to discuss benefits
of his smoking cessation. ✔◻✔◻correct answer-7. Answer:
1
Page: 115, 116
COMPREHENSIVE EXAM// VERIFIED
QUESTIONS AND ANSWERS//
GUARANTEED PASS!!
1. The nurse practitioner is conducting patient rounds in a
long-term care facility. As she talks with Mrs. Jones, she
notices that her arms and elbows are excoriated and the
skin is shearing. The nurse practitioner explains to the staff
that Mrs. Jones needs frequent assessment of her skin and
protection provided to prevent skin breakdown because:
1. Her lack of activity causes the skin to tear.
2. Fat has redistributed to the abdomen and thighs, leaving
bony surfaces in areas such as the face, hands, and
sacrum. This can result in injury.
3. She has lost weight and is in jeopardy of falling.
4. She picks at herself and causes skin breakdown.
✔◻✔◻correct answer-2. Answer: 2
Page: 96
Feedback
1.
Lack of activity alone does not cause skin breakdown.
2.
Fat is redistributed to the abdomen and thighs, leaving bony
surfaces, such as the face, hands, and sacrum, exposed to
potential injury, especially skin tears from shearing, friction
forces and pressure ulcer development.
,3.
Although losing weight may be a risk factor for falling, it is
not directly related to skin breakdown.
4.
There is no evidence that she is picking at herself, as there
is nothing reported anywhere else on her arms.
2. Mr. James is 91 years old. His daughter notices that he
has bruises and lacerations on his arms and reports this to
the nurse practitioner, who tells her that older people bruise
easily due to their fragile blood vessels. The skin lacerations
happen because he has thin skin. Even so, the nurse
practitioner assures the daughter that she will investigate
further to ensure that he is getting proper care. She says
this because she understands that:
1. These markings on the patient's skin are part of aging
skin.
2. Bruises and lacerations can indicate inadequate care.
3.
1. Ms. Rose, 88 years old, comes to the nurse practitioner
with a complaint about a growth on her hand. She wants to
have a biopsy done. The nurse practitioner asks the
following question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings?
✔◻✔◻correct answer-5. Answer: 3
Page: 97
Feedback
1.
,An injury would not stimulate growth.
2.
A reaction to a detergent would more likely be a rash.
3.
Lesions that warrant biopsy are those that have changed,
bleed, or are painful.
4.
The ability to put on her ring is not the problem.
2. A 60-year-old male enters the burn center for triage and
treatment due to a burn he received at a campfire. His left
arm has an area that is erythematous and painful, and
another area has a blister. What does the nurse practitioner
record as the degree of burn?
1. First degree
2. Second degree
3. First and second degree
, 4. Second and third degree ✔◻✔◻correct answer-6.
Answer: 3
Page: 98
Feedback
1.
First-degree burns involving the epidermis are
erythematous and painful but do not blister.
2.
Second-degree burns involve the dermis and are
characterized by blisters.
3.
The patient presents with erythematous skin, painful with
blisters, which indicates both first- and second-degree burn
areas.
4.
In third-degree burns there is no sensation when the wound
is pinpricked.
3. The nurse practitioner is concerned with primary
prevention strategies. How can the nurse practitioner
implement primary prevention strategies for an 80-year-old
male patient who smokes?
1. Review home fire safety protocols, including the proper
use of smoke alarms, and discuss smoking cessation.
2. Inform him that if he does not stop smoking, the nurse
practitioner cannot see him again.
3. Have a conference with his family about his smoking.
4. Plan a family meeting with the patient to discuss benefits
of his smoking cessation. ✔◻✔◻correct answer-7. Answer:
1
Page: 115, 116
