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WALDEN UNIVERSITY NRNP 6568
FINAL EXAM 2026 QUESTIONS AND
ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
1. 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. - correct answer-1.
Answer: 1
Page: 96
Feedback
1.
, Page | 2
Skin renewal turnover time increases to approximately 87 days in
older adults, compared with 20 days during youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal this
wound quickly.
4.
Prophylactic antibiotics are not appropriate when there are no
signs or symptoms of infection.
2. 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 | 3
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.
3. 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:
, Page | 4
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. - correct answer-3. Answer: 2
Page: 97
Feedback
1.
Markings on the skin may be signs of aging, a disease, or
maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may signal a
problem not only with the patient but with the caregiver's ability to
provide adequate care. Welts, lacerations, burns, and distinctive
markings may indicate a need for intervention.
3.
This is a result of the nurse practitioner addressing it further rather
than the reason for addressing it.
4.
A professional cannot assume abuse without good reason.
WALDEN UNIVERSITY NRNP 6568
FINAL EXAM 2026 QUESTIONS AND
ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
1. 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. - correct answer-1.
Answer: 1
Page: 96
Feedback
1.
, Page | 2
Skin renewal turnover time increases to approximately 87 days in
older adults, compared with 20 days during youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal this
wound quickly.
4.
Prophylactic antibiotics are not appropriate when there are no
signs or symptoms of infection.
2. 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 | 3
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.
3. 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:
, Page | 4
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. - correct answer-3. Answer: 2
Page: 97
Feedback
1.
Markings on the skin may be signs of aging, a disease, or
maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may signal a
problem not only with the patient but with the caregiver's ability to
provide adequate care. Welts, lacerations, burns, and distinctive
markings may indicate a need for intervention.
3.
This is a result of the nurse practitioner addressing it further rather
than the reason for addressing it.
4.
A professional cannot assume abuse without good reason.
