ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A toddler with otitis media is prescribed amoxicillin clavulanate 250 mg/5 mL three times daily by mouth for 10 days. What should the nurse teach the mother about this medication?
Correct Answer: B
Rationale: The correct answer is B: Give the antibiotic for the full 10 days as prescribed. The rationale is as follows: 1. Amoxicillin clavulanate is used to treat otitis media, and completing the full course is crucial to ensure the infection is completely eradicated. 2. Stopping the antibiotic prematurely can lead to antibiotic resistance and treatment failure. 3. Using a household teaspoon (Choice C) is inaccurate and can result in incorrect dosing. 4. Administering a loading dose (Choice D) is not necessary for this medication.
Question 2 of 5
A nurse is caring for a client with septicemia. What assessment by the nurse best addresses the potential for ineffective peripheral perfusion?
Correct Answer: D
Rationale: The correct answer is D: Monitor for cyanosis. In septicemia, inadequate peripheral perfusion can lead to cyanosis due to decreased oxygen delivery. Cyanosis is a late sign of compromised perfusion. Assessing heart rate (choice A) may indicate changes in cardiac function but does not directly assess peripheral perfusion. Monitoring temperature (choice B) can reveal fever, which is common in septicemia, but does not directly assess perfusion. Checking pupil reactions (choice C) is important but does not specifically address peripheral perfusion. Therefore, monitoring for cyanosis is the most direct way to assess for ineffective peripheral perfusion in a client with septicemia.
Question 3 of 5
The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse. The client has a chronic nonproductive cough. For which should the nurse expect to screen this client?
Correct Answer: D
Rationale: The correct answer is D: Tuberculosis. Given the client's history of drug abuse and chronic nonproductive cough, the nurse should screen for TB due to its high prevalence among homeless individuals and its association with respiratory symptoms. TB can easily spread in crowded environments like homeless shelters. Herpes zoster (A) is a viral infection causing a painful rash, not typically associated with a chronic cough. Sickle cell disease (B) is a genetic blood disorder, unrelated to the client's symptoms. Sick sinus syndrome (C) is a cardiac condition characterized by abnormal heart rhythms, not typically presenting with a chronic cough. In summary, TB is the most likely condition to screen for based on the client's history and symptoms.
Question 4 of 5
The most common source for bacteria that cause a urinary tract infection is
Correct Answer: B
Rationale: The correct answer is B because the mucous membranes of the perineal area, located near the urinary tract, are a common entry point for bacteria causing UTIs. Bacteria from the perineal area can easily travel to the urinary tract and cause an infection. A catheter (A) may introduce bacteria but is not the most common source. Hands (C) can transfer bacteria, but the perineal area is more direct. Clothing (D) is unlikely to be a primary source of UTI-causing bacteria.
Question 5 of 5
The infecting organism that causes tuberculosis is
Correct Answer: D
Rationale: The correct answer is D: Mycobacterium tuberculosis. Mycobacterium tuberculosis is the causative organism of tuberculosis, a bacterial infection affecting the lungs. The genus Mycobacterium includes various species, but M. tuberculosis specifically causes tuberculosis. Micrococcus tuberculosis (A) and Microbacterium tuberculosis (B) are not valid scientific names. Mycoplasma tuberculosis (C) is incorrect as Mycoplasma is a different genus known for lacking a cell wall and causing different types of infections.