NRNP 6540 FINAL EXAM /NRNP WEEK 12 FINAL EXAM ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+ Latest Update
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Course
NRNP 6540
Institution
NRNP 6540
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 infecti...
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NRNP 6540 FINAL EXAM /NRNP WEEK 12
FINAL EXAM 2024-2025 ACTUAL EXAM
180 QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+ Latest
Update
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.
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4. She picks at herself and causes skin breakdown.
✓ 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:
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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.
✓ 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.
4. 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
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