ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Considering Aaron's developmental stage, the nurse's plan of care emphasizes interaction with which group?
Correct Answer: D
Rationale: The correct answer is D because at Aaron's developmental stage, his peers play a significant role in shaping his identity and providing emotional support. Interacting with his girlfriend and close friends from college allows for social connection, emotional intimacy, and shared experiences, which are crucial for his development. Choices A, B, and C are incorrect as they do not prioritize peer relationships, which are particularly influential during young adulthood in terms of identity formation and social support. Aaron's parents, aunts, uncles, cousins, former high school classmates, and professors may have important roles in his life, but at this stage, peer relationships are paramount.
Question 2 of 5
The nurse is caring for a client who is admitted with cellulitis of the foot. Which assessment findings support this diagnosis?
Correct Answer: D
Rationale: The correct answer is D. Redness, pain, and edema at the site are classic signs of cellulitis, indicating localized inflammation and infection. BUN and creatinine (choice A) are not specific to cellulitis but may indicate impaired kidney function. Breath sounds (choice B) are related to respiratory assessment and not relevant to cellulitis. Blood cultures (choice C) may be ordered to identify the causative organism but are not immediate assessment findings of cellulitis. In summary, choices A, B, and C do not directly support the diagnosis of cellulitis, while choice D aligns with the typical clinical presentation of the condition.
Question 3 of 5
What organism is most commonly responsible for cellulitis?
Correct Answer: D
Rationale: The correct answer is D: Staphylococcus aureus. Staphylococcus aureus is the most common organism responsible for cellulitis due to its ability to invade skin and soft tissues. It produces enzymes and toxins that contribute to tissue damage and inflammation. Staphylococcus epidermidis (A) is a common skin flora but less likely to cause cellulitis. Streptococcus pneumoniae (B) typically causes respiratory infections. Streptococcus viridans (C) is more associated with endocarditis.
Question 4 of 5
A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Conjunctivitis. Extended-wear contact lenses can increase the risk of developing conjunctivitis due to reduced oxygen flow to the eyes. Teaching the client proper hygiene practices and lens care can help reduce this risk. Choice B, C, and D are incorrect because cataracts, glaucoma, and macular degeneration are not directly associated with extended-wear contact lenses, but rather with other factors like aging, genetics, and lifestyle choices.
Question 5 of 5
The nurse is caring for a group of clients with influenza. Which client should the nurse identify as being at greatest risk for complications?
Correct Answer: B
Rationale: The correct answer is B, a 72-year-old man, as he is at the greatest risk for complications due to influenza. Elderly individuals have weakened immune systems, making them more susceptible to severe complications like pneumonia. Younger individuals, such as the 53-year-old woman, 35-year-old woman, and 12-year-old boy, typically have stronger immune systems and are less likely to experience severe complications. Therefore, the 72-year-old man is at the highest risk due to age-related immune system decline.