the nurse assesses a deep wound the area is covered by black and necrotic tissue what term would the nurse use when documenting this wound

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

A. Tunnelling
B. Eschar
C. Blanching
D. Cellulitis

Correct answer: B

Rationale:

2. An area of erythema on the child's skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?

A. Non-blanching
B. Blanching
C. Redness
D. Warmth

Correct answer: B

Rationale:

3. Which of the following is NOT a risk factor for osteoarthritis?

A. Older age
B. Sports injuries
C. Obesity
D. Vegan diet

Correct answer: D

Rationale:

4. The medical record for a client states that the client has hemiplegia. What does this mean?

A. The client can use his right arm, left leg, and left arm.
B. The client has paralysis of all four extremities.
C. The client has decreased vision in one eye.
D. The client has paralysis on one side of the body.

Correct answer: D

Rationale: Hemiplegia refers to paralysis on one side of the body, affecting either the right or left side. Choice A is incorrect because it describes selective paralysis of specific limbs, not one side of the body. Choice B is incorrect as hemiplegia does not involve paralysis of all four extremities. Choice C is also incorrect as decreased vision in one eye is not indicative of hemiplegia.

5. Which test is used in the diagnosis of osteoporosis?

A. Phalen's maneuver
B. Dual-energy X-ray absorptiometry (DXA) scan
C. Proprioception
D. Blood culture

Correct answer: B

Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.