ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A nurse caring for a client with cellulitis can expect to collaborate with which other member of the healthcare team?
Correct Answer: C
Rationale: The correct answer is C: Wound care specialist. In the case of cellulitis, a wound care specialist is crucial for managing and treating the infected area effectively. They have expertise in wound healing, infection control, and proper dressing techniques, which are essential for cellulitis treatment. Collaborating with a wound care specialist ensures the client receives appropriate care and helps prevent complications. The other choices (A, B, D) are not directly related to cellulitis management and would not provide the specialized care needed for this condition.
Question 2 of 5
The nurse walks into an examination room and sees a young child demonstrate a specific behavior. (See image.) The nurse recognizes this behavior is most characteristic of which health problem?
Correct Answer: C
Rationale: The image shows a child pulling at their ear, which is a common sign of otitis media, an inflammation of the middle ear. This behavior indicates ear pain or discomfort, a key symptom of otitis media. Sore throat (A) typically presents with throat pain, not ear pulling. Hunger (B) would not manifest as ear pulling behavior. Head cold (D) may have nasal congestion and runny nose but not ear pulling. Therefore, option C is the most appropriate choice based on the presented behavior.
Question 3 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 4 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 5 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.