NUR 612 Exam 5 Questions with 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
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.
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
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.
