NUR 612 EXAM 5 QUESTIONS
COMPLETE AND CORRECT
ANSWERS
Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg. She fell
a month ago and the wound has not healed. She is concerned that something is wrong. The
nurse practitioner examines the wound and sees that it has been cleaned properly and has no
signs of infection. The edges are approximated, but the skin around the wound is red and
tender to touch. The best response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four times longer than it does for younger
people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine that would have healed that right
up.
4. I will order an antibiotic to prevent infection.
1. Wound healing for older people may take up to four times longer than it does for younger
people.
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
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.
, 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. The daughter needs assurance that her father is okay.
4. The patient is being abused.
2. Bruises and lacerations can indicate inadequate care.
The nurse practitioner assesses a patient's skin and finds an infectious lesion on the lower leg.
The lesion is considered a secondary lesion. The nurse practitioner explains that a secondary
lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging.
1. Arises from changes to a primary lesion.
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?
3. Has this growth changed, bled, or is it painful?
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
3. First and second degree
COMPLETE AND CORRECT
ANSWERS
Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg. She fell
a month ago and the wound has not healed. She is concerned that something is wrong. The
nurse practitioner examines the wound and sees that it has been cleaned properly and has no
signs of infection. The edges are approximated, but the skin around the wound is red and
tender to touch. The best response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four times longer than it does for younger
people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine that would have healed that right
up.
4. I will order an antibiotic to prevent infection.
1. Wound healing for older people may take up to four times longer than it does for younger
people.
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
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.
, 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. The daughter needs assurance that her father is okay.
4. The patient is being abused.
2. Bruises and lacerations can indicate inadequate care.
The nurse practitioner assesses a patient's skin and finds an infectious lesion on the lower leg.
The lesion is considered a secondary lesion. The nurse practitioner explains that a secondary
lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging.
1. Arises from changes to a primary lesion.
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?
3. Has this growth changed, bled, or is it painful?
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
3. First and second degree
