ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
How would the nurse measure the length of the time the redness lasts, which assessment measure should the nurse perform?
Correct Answer: A
Rationale: The correct answer is A: Apply light pressure to the area with the fingertips. By applying light pressure, the nurse can assess the blanching response, which helps determine how long the redness lasts. This method helps evaluate the skin's perfusion and the duration of capillary refill time. Summary: B: Observing for wound approximation is not related to measuring the duration of redness. C: Obtaining a wound culture is unrelated to assessing the length of redness duration. D: Gently lifting a fold of skin does not provide information on the duration of redness.
Question 2 of 5
It is most important to include this group in which aspect of Aaron's overall care?
Correct Answer: B
Rationale: The correct answer is B because planning meals to promote wound healing directly impacts Aaron's physical well-being and recovery. Proper nutrition plays a crucial role in wound healing. Reviewing class notes and studying for exams (A) is important but not as critical to his immediate health. Purchasing wound care supplies (C) is necessary but doesn't address the root cause of the issue. Reminiscing about the past (D) is irrelevant to Aaron's current care needs. In summary, option B focuses on a key aspect of Aaron's care by addressing his physical health and promoting recovery.
Question 3 of 5
The nurse is teaching a child care class for mothers of young children. What should the nurse teach as being the most common mode of transmission of infectious disease?
Correct Answer: D
Rationale: The correct answer is D because not washing hands after using the bathroom is the most common way for infectious diseases to spread due to contact with fecal matter containing harmful pathogens. This practice can lead to contamination of surfaces, food, and direct contact with others. Choices A, B, and C involve close contact activities but do not directly involve the transfer of pathogens as significantly as improper hand hygiene. Option A and B may involve some contact, but the level of exposure to pathogens is lower compared to not washing hands after using the bathroom. Option C involves sharing toys, which can spread germs, but it is not as common as the direct transmission through unwashed hands.
Question 4 of 5
The nurse is teaching a group of adolescents at a local high school about skin infections. Which students should the nurse identify as being at increased risk for developing cellulitis? Select the one that does not apply
Correct Answer: C
Rationale: The correct answer is C. Cellulitis is a bacterial skin infection that can occur when bacteria enter through a break in the skin. Students who are at increased risk include those with compromised immune systems, chronic conditions like diabetes (B), and those who engage in behaviors that can introduce bacteria into the skin, such as plucking eyebrows (A) or squeezing pimples (D). Being a member of the golf team (C) does not inherently increase the risk of developing cellulitis unless there is a specific behavior or condition associated with golfing that could lead to skin infections. Thus, option C does not apply in this context.
Question 5 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.