VERIFIED ANSWERS |HIGH YIELD QUESTIONS
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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: 2. Bruises and lacerations can indicate inadequate care.
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. 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
Correct Answer: 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.
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.
Correct Answer: 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?
Correct Answer: 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
Correct Answer: 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.
3. Have a conference with his family about his smoking
.4. Plan a family meeting with the patient to discuss benefits of his smoking
cessation.
Correct Answer: 1. Review home fire safety protocols, including the proper use
of smoke alarms, and discuss smoking cessation.
The nurse practitioner is conducting a safety class with community-living older
adults. Which of the following should she include in her teaching of risks of
burns for this population? Select all that apply.
1. Thinner skin.
2. Less vascularity.
3. Diminished nerve function.
4. A weakened immune system.
5. The burden of various comorbidities leading to enhanced wound healing and
reepithelialization after burn injury.
Correct Answer:
1. Thinner skin.
2. Less vascularity.
3. Diminished nerve function.
4. A weakened immune system.
Mr. Edwards is 76 years old and received a burn on his leg when he dozed off
and dropped his cigarette. The nurse practitioner examines his leg for the
degree of burn and classifies it as second degree with some third degree in the
center. Mr. Edwards asks what that means and why it hurts so much. What is the
, best answer? Select all that apply.
1. It means that this is a serious, deep burn in the center, and a less deep burn
around the sides.
2. It hurts because the nerve endings are exposed in the second-degree area.
3. It means that the burn is advancing and getting worse.
4. It hurts because the nerves are destroyed.
5. It hurts because the nerves in the second-degree areas are exposed to the
outside and are stimulated
Correct Answer:
1. It means that this is a serious, deep burn in the center, and a less deep burn
around the sides.
2. It hurts because the nerve endings are exposed in the second-de
Mrs. Thomas is 82 years old and burned her hand while cooking. The nurse
practitioner assesses second- and third-degree burns over approximately half of
the back of her hand. The nurse practitioner chooses which of the following for
initial treatment? Select all that apply.
1. Administer appropriate pain medication.
2. Rinse with cool tap water.
3. Clean with a strong detergent.
4. Remove any loose tissue but allow the blisters to remain.
5. Diagnose as first- and third-degree burns.
Correct Answer:
1. Administer appropriate pain medication.
2. Rinse with cool tap water.
4. Remove any loose tissue but allow the blisters to remain.
Mr. Watson,75 years old, comes to the urgent care center with complaints of
fever, fast heartbeat, a swollen gland under his right arm, and redness in his
upper left arm that has hurt for 2 to 3 days. The patient says that he has had the
redness in his arm for months without any difficulty. The nurse practitioner
suspects which of the following? Select all that apply.
1. Influenza
2. Upper respiratory infection
3. Cellulitis of upper left arm
4. Necrotizing fasciitis
5. Lymphangitis
Correct Answer: 3. Cellulitis of upper left arm