WALDEN NRNP 6540 FINAL
COMPREHENSIVE EXAM// VERIFIED
QUESTIONS AND ANSWERS//
GUARANTEED PASS!!
1. It means that the burn is advancing and getting worse.
2. It hurts because the nerves are destroyed.
3. It hurts because the nerves in the second-degree areas
are exposed to the outside and are stimulated.
✔◻✔◻correct answer-9. Answer: 1, 2
,Feedback
1.
Deep dermal burns extend further into the dermis; third-
degree burns involve the full dermis, extending into the
subcutaneous tissue.
2.
In these burns there is pain from exposed nerve endings,
but by the second day, pain is often described more as
pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are
characterized by blisters. The underlying tissue is pink,
moist, and hypersensitive to touch.
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. The daughter needs assurance that her father is okay.
4. The patient is being abused. ✔◻✔◻correct answer-3.
Answer: 3
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,
COMPREHENSIVE EXAM// VERIFIED
QUESTIONS AND ANSWERS//
GUARANTEED PASS!!
1. It means that the burn is advancing and getting worse.
2. It hurts because the nerves are destroyed.
3. It hurts because the nerves in the second-degree areas
are exposed to the outside and are stimulated.
✔◻✔◻correct answer-9. Answer: 1, 2
,Feedback
1.
Deep dermal burns extend further into the dermis; third-
degree burns involve the full dermis, extending into the
subcutaneous tissue.
2.
In these burns there is pain from exposed nerve endings,
but by the second day, pain is often described more as
pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are
characterized by blisters. The underlying tissue is pink,
moist, and hypersensitive to touch.
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. The daughter needs assurance that her father is okay.
4. The patient is being abused. ✔◻✔◻correct answer-3.
Answer: 3
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,
