ATI RN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A pregnant client tested positive for group B streptococcus during her 36-week checkup. For which intervention should the nurse prepare the client in order to prevent transmission of infection to the neonate?
Correct Answer: D
Rationale: The correct answer is D: Administration of antibiotics to the client during labor. This is because giving antibiotics to the mother during labor can significantly reduce the risk of transmitting Group B streptococcus to the neonate during delivery. The antibiotics help to eradicate the bacteria in the birth canal, thus decreasing the chances of the baby becoming infected during birth. Not breastfeeding the neonate during the first week after birth (choice A) is not the correct intervention as breastfeeding is still recommended even if the mother is positive for Group B streptococcus. Administration of antibiotics to the neonate after birth (choice B) is not the first-line intervention as preventing transmission during labor is more effective than treating the neonate after birth. Delivery by cesarean section (choice C) is not the preferred intervention unless there are other obstetric indications for a cesarean section. Administering antibiotics to the client during labor (choice D) is the most appropriate intervention to prevent transmission of infection to the
Question 2 of 5
The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis. Which statement made by the mother indicates teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C because washing hands before instilling the medication helps prevent the spread of infection. Dropping medication onto the eyeball (A) can be harmful. Waiting 10 seconds between drops (B) is not necessary. Rubbing the eye with a cotton ball after administering the medication (D) can introduce bacteria.
Question 3 of 5
Which interventions should the nurse incorporate into the plan of care for a client diagnosed with influenza? Select the one that does not apply
Correct Answer: B
Rationale: Correct Answer: B - Placing the client in a negative air flow room does not apply. Influenza is primarily spread through respiratory droplets and contact, not airborne transmission. Therefore, a negative air flow room is not necessary. Rationale: A: Placing droplet and contact precaution signs is important to alert staff and visitors to take necessary precautions. C: Placing a ventilator is not necessary for influenza treatment, as it is a respiratory infection, not a condition requiring mechanical ventilation. D: Notifying other departments is crucial for infection control and prevention, to ensure appropriate measures are taken to prevent the spread of influenza.
Question 4 of 5
Which instruction should the nurse provide to an adolescent client with otitis media with regard to pain?
Correct Answer: B
Rationale: The correct answer is B: Report abrupt relief of pain immediately. This instruction is important because sudden relief of pain in otitis media may indicate rupture of the eardrum, which requires immediate medical attention. Applying a cold compress (A) may provide temporary relief but does not address the underlying issue. Continuing air travel (C) can worsen otitis media due to changes in air pressure. Reporting increased pain when moving the outer ear (D) may indicate an external ear infection, not specific to otitis media.
Question 5 of 5
The nurse is caring for an older adult client who is hospitalized with a second episode of pneumonia in the past 18 months. The client has expressed frustration to the nurse and states, 'I never got sick when I was younger. Why is this happening?' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because as individuals age, there is a natural decline in the immune response known as immunosenescence. This leads to a decreased ability to fight off infections like pneumonia, making older adults more susceptible. Option A is incorrect as the immune system doesn't simply stop working with age. Option C is incorrect because aging actually leads to a decline in immune response speed and strength. Option D is incorrect as an increase in B cells would not hinder the immune response but rather indicates a potential boost in antibody production.