ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A type of infection that is associated with the delivery of healthcare services in a facility such as a hospital or nursing home is called a(n)
Correct Answer: C
Rationale: The correct answer is C: healthcare-associated infection. This term is used to describe infections acquired while receiving healthcare in a facility, encompassing hospitals and nursing homes. It is a broader term that includes infections acquired in any healthcare setting, not just hospitals. A: Etiologic infection refers to the cause of a disease, not specifically related to healthcare settings. B: Latent infection refers to an infection where the causative agent is present but not causing symptoms at the moment. D: Hospital-associated infection is more specific to infections acquired within a hospital setting, excluding infections acquired in other healthcare facilities.
Question 2 of 5
The nurse is providing care for a pediatric client with bacterial conjunctivitis. Which interventions should the nurse use as part of the collaborative management of the client? Select the one that does not apply
Correct Answer: B
Rationale: Correct Answer: B - Recommending removing contacts at night Rationale: 1. Bacterial conjunctivitis can be exacerbated by wearing contact lenses, so it is important to avoid wearing them. 2. A - Recommending dark sunglasses can help protect the eyes from light sensitivity and reduce discomfort. 3. C - Contacting the client's school nurse can help prevent the spread of infection in a communal setting. 4. D - Performing careful hand hygiene is crucial to prevent the spread of the infection to others.
Question 3 of 5
Necrosis of respiratory epithelial cells and shedding of serous and ciliated cells of the respiratory tract produce which common symptom of influenza?
Correct Answer: D
Rationale: The shedding of serous and ciliated cells in the respiratory tract leads to rhinorrhea, which is a common symptom of influenza. This process causes an increase in nasal secretions and results in a runny nose. Malaise (A) is a general feeling of discomfort, not directly related to shedding of respiratory cells. Coryza (B) refers to nasal congestion, not shedding of cells. Cough (C) is more commonly associated with irritation of the respiratory tract, not shedding of cells. Therefore, D is the correct answer.
Question 4 of 5
The nurse correctly explains to a young mother that bottle-feeding an infant in the upright position may help to prevent which infectious health problem?
Correct Answer: D
Rationale: The correct answer is D: Otitis media. Bottle-feeding in an upright position helps prevent fluid from entering the middle ear, reducing the risk of otitis media. This infection occurs when bacteria from the nose and throat travel through the Eustachian tube to the middle ear. By keeping the infant upright during feeding, gravity helps prevent this bacterial migration. Choices A, B, and C are incorrect as bottle-feeding in an upright position does not directly impact choking, aspiration, or sinus infections.
Question 5 of 5
The nurse is caring for a client with pneumonia. Which intervention should the nurse include in this client's plan of care to promote effective airway clearance?
Correct Answer: A
Rationale: The correct answer is A because chest percussion helps loosen and mobilize secretions in the lungs, promoting effective airway clearance in pneumonia. It should be performed regularly to prevent mucus buildup. B: Administering the pneumococcal vaccine is important for preventing pneumonia but does not directly address airway clearance. C: Limiting fluid intake may lead to dehydration and thickening of secretions, worsening airway clearance. D: Smoking cessation education is important for overall lung health but does not directly address airway clearance in pneumonia.