ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Conjunctivitis. Extended-wear contact lenses can increase the risk of developing conjunctivitis due to reduced oxygen flow to the eyes. Teaching the client proper hygiene practices and lens care can help reduce this risk. Choice B, C, and D are incorrect because cataracts, glaucoma, and macular degeneration are not directly associated with extended-wear contact lenses, but rather with other factors like aging, genetics, and lifestyle choices.
Question 2 of 5
The body structure that provides a route by which infections organisms can enter the middle ear to cause otitis media is the
Correct Answer: B
Rationale: The correct answer is B: eustachian tube. The eustachian tube connects the middle ear to the nasopharynx, allowing for drainage of fluids and equalization of pressure. When this tube is blocked or dysfunctional, it can lead to accumulation of fluids and bacteria in the middle ear, causing otitis media. The nasopharynx (A) is a passageway for air and food, but the eustachian tube is the direct route to the middle ear. The tympanic membrane (C) is the eardrum that separates the outer and middle ear, providing protection rather than serving as an entry point for infections. The sinus cavity (D) is not directly connected to the middle ear and does not play a significant role in the development of otitis media.
Question 3 of 5
Which of the following is not one of the four distinct patterns of pneumonia?
Correct Answer: C
Rationale: The correct answer is C: Alveolar pneumonia. Alveolar pneumonia is not one of the four distinct patterns of pneumonia. Lobar pneumonia involves consolidation of an entire lobe of the lung. Bronchopneumonia is characterized by patchy infiltrates around bronchi. Interstitial pneumonia affects the interstitium of the lung, while alveolar pneumonia primarily involves the alveoli. Alveolar pneumonia is more diffuse and involves the alveolar sacs and surrounding structures, differentiating it from the other patterns.
Question 4 of 5
Which finding supports the nurse's evaluation that an older adult client with sepsis has maintained a normal mental status?
Correct Answer: C
Rationale: The correct answer is C because a client responding appropriately to questions indicates a normal mental status. This response demonstrates intact cognitive function and ability to understand and communicate effectively. Choice A, agitation, suggests altered mental status. Choice B, a Glasgow coma score of 4, indicates severe impairment. Choice D, fixed and dilated pupils, can be a sign of neurological dysfunction, not necessarily a reflection of mental status. Therefore, choice C is the best indicator of maintaining a normal mental status in an older adult with sepsis.
Question 5 of 5
The nurse is providing teaching to the family of an older adult client with a urinary tract infection (UTI). Which common early symptom that is likely to occur in older adults should the nurse stress?
Correct Answer: D
Rationale: The correct answer is D: Alteration in cognition. Older adults with UTIs commonly present with changes in cognition due to the infection affecting the brain. This is known as delirium, a common early symptom in this population. It is essential to stress this symptom because it can often be mistaken for other conditions like dementia. A: Urinary urgency is a common symptom in UTIs, but it is not specific to older adults. B: Blood in the urine, known as hematuria, is a less common symptom of UTIs and is not typically an early indicator. C: Urinary frequency is a common symptom in UTIs but is not specific to older adults and may not be an early indicator in this population.