NRNP 6568 FINAL EXAM ACTUAL EXAM 2026 (WALDEN
UNIVERSITY) | ALL QUESTIONS AND CORRECT ANSWERS
(DETAILED EXPLANATIONS) | VERIFIED ANSWERS |
UPDATED VERSION
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.
,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: 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:
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.
UNIVERSITY) | ALL QUESTIONS AND CORRECT ANSWERS
(DETAILED EXPLANATIONS) | VERIFIED ANSWERS |
UPDATED VERSION
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.
,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: 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:
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.
