ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
A mother brings in her 6-year-old daughter with signs and symptoms of fever, reduced voiding, uncontrolled voiding, and pain during urination. The daughter is diagnosed with a urinary tract infection. Which nursing outcome is most appropriate for this client?
Correct Answer: B
Rationale: The correct answer is B: The client will report no episodes of enuresis. Enuresis refers to involuntary urination, which can be a common symptom of urinary tract infection in children. Achieving no episodes of enuresis indicates successful treatment and resolution of the infection. This outcome specifically addresses the client's urinary symptoms, making it the most appropriate choice. Choice A is incorrect as it focuses on bilirubin levels, which are not directly related to urinary tract infection. Choice C is incorrect as remaining afebrile for 12 hours does not address the urinary symptoms. Choice D is incorrect as it only focuses on the volume of urine voided and does not address the resolution of the infection or the client's symptoms.
Question 2 of 5
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
Correct Answer: D
Rationale: The correct answer is D: Excisional biopsy. This type of biopsy is appropriate for the removal of a larger lesion like a 15-mm mole. It involves removing the entire lesion along with a margin of normal tissue for accurate diagnosis. Shave biopsy (A) is superficial and not suitable for larger or irregular lesions. Punch biopsy (B) removes a small cylindrical core of tissue and may not be sufficient for comprehensive analysis. Incisional biopsy (C) involves taking a sample from a specific area of the lesion, which is not ideal for suspicious or multicolored moles as they require complete removal for accurate assessment.
Question 3 of 5
A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
Correct Answer: B
Rationale: Step 1: Tanning booth use is a modifiable risk factor, unlike the patient's genetic predisposition (A) or inherent characteristics (C). Step 2: Tanning booths increase UV exposure, a known risk factor for melanoma. Step 3: Education on avoiding tanning booths can help reduce the patient's risk. Summary: Option B is the priority as it addresses a behavior that can be changed to lower melanoma risk, unlike the other factors.
Question 4 of 5
What is the best method to prevent the spread of infection to others when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
Correct Answer: C
Rationale: The correct answer is C: Wash hands and properly dispose of soiled dressings. This is the best method to prevent the spread of infection when changing the dressing over a wound infected with Staphylococcus aureus. Washing hands helps to remove any potential pathogens, reducing the risk of cross-contamination. Proper disposal of soiled dressings ensures that any infectious material is contained and not spread to others. Incorrect options: A: Changing the dressing using sterile gloves is important, but it is not sufficient on its own to prevent the spread of infection. B: Applying antibiotic ointment over the wound may help treat the infection locally but does not address the risk of spreading the infection. D: Soaking the dressing in sterile normal saline before removal may help with the removal process, but it does not address preventing the spread of infection to others.
Question 5 of 5
The nurse working in the dermatology clinic assesses a young adult female patient who has severe cystic acne. Which assessment finding is of concern related to the patient’s prescribed isotretinoin?
Correct Answer: A
Rationale: The correct answer is A because isotretinoin is a teratogenic medication, meaning it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for females of childbearing age to use effective contraception while on isotretinoin to prevent pregnancy. The removal of the intrauterine device raises concerns about the patient's contraception method and potential risk of pregnancy. Choice B is incorrect because acne scarring does not directly impact the safety or effectiveness of isotretinoin treatment. Choice C is incorrect as the use of topical antibiotics does not directly affect the use of isotretinoin. Choice D is incorrect as a family history of rheumatoid arthritis is not a contraindication or concern specifically related to isotretinoin treatment.