ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A labor and delivery nurse is providing care for a neonate in the first few minutes after birth. One action the nurse will take to promote eye health and prevent conjunctivitis in the infant is administration of
Correct Answer: B
Rationale: The correct answer is B: erythromycin as an eye ointment. The rationale for this is that erythromycin is commonly used as prophylaxis to prevent neonatal conjunctivitis caused by Chlamydia trachomatis or Neisseria gonorrhoeae. It is applied within the first hour after birth to prevent the transmission of these bacteria from the mother to the infant during delivery. Oral tetracycline (A) is not recommended in neonates due to potential tooth discoloration and skeletal growth inhibition. Ceftriaxone (C) is not typically used in neonatal eye infections. Parenteral acyclovir (D) is used to treat herpes infections, not to prevent neonatal conjunctivitis.
Question 2 of 5
Which child has a risk factor for developing otitis media?
Correct Answer: D
Rationale: The correct answer is D because attending daycare exposes the child to more germs, increasing the risk of otitis media due to frequent infections. Young children in daycare settings are more prone to viral and bacterial infections, leading to ear infections. Other choices lack this direct link to increased exposure to germs. Choice A's activities are not directly related to otitis media. Choice B living on a farm does not inherently increase the risk of ear infections. Choice C staying with her grandmother does not involve the same level of exposure to germs as attending daycare does.
Question 3 of 5
Which type of pneumonia rarely occurs in individuals with normal immune function?
Correct Answer: B
Rationale: The correct answer is B: Pneumonia caused by Pneumocystis jiroveci rarely occurs in individuals with normal immune function because it primarily affects immunocompromised individuals, such as those with HIV/AIDS. Pneumonia caused by the influenza virus (A), Mycoplasma pneumoniae (C), and Streptococcus pneumoniae (D) can occur in individuals with normal immune function. This is due to the fact that these pathogens can cause pneumonia in individuals regardless of their immune status.
Question 4 of 5
The nurse is admitting a client to the intensive care unit. Earlier, the client presented to the emergency department in early septic shock. Given this information, which assessment findings should the nurse anticipate? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Rapid and deep respirations. In early septic shock, the body compensates by increasing the respiratory rate to improve oxygenation. Rapid and deep respirations help maintain oxygen levels. A: Normal blood pressure is not expected in septic shock, as blood pressure tends to drop due to vasodilation. C: Shallow respirations are unlikely as the body usually tries to compensate for decreased oxygen perfusion by increasing the depth of respirations. D: Warm and flushed skin is not typical in septic shock, as the body's response to vasodilation is often cool, clammy skin.
Question 5 of 5
Which question best helps the nurse establish a common cause of recurrent urinary tract infections (UTIs) in a preadolescent female client?
Correct Answer: D
Rationale: The correct answer is D because wiping from back to front after a bowel movement can introduce bacteria from the rectal area to the urethra, leading to UTIs. This is particularly important in preadolescent girls with shorter urethras. Choice A focuses on past occurrences, not prevention. Choice B relates to hygiene but not directly to UTIs. Choice C is important but not as directly related to UTI prevention as proper wiping technique.