ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The body structure that provides a route by which infections organisms can enter the middle ear to cause otitis media is the
Correct Answer: B
Rationale: The correct answer is B: eustachian tube. The eustachian tube connects the middle ear to the nasopharynx, allowing for drainage of fluids and equalization of pressure. When this tube is blocked or dysfunctional, it can lead to accumulation of fluids and bacteria in the middle ear, causing otitis media. The nasopharynx (A) is a passageway for air and food, but the eustachian tube is the direct route to the middle ear. The tympanic membrane (C) is the eardrum that separates the outer and middle ear, providing protection rather than serving as an entry point for infections. The sinus cavity (D) is not directly connected to the middle ear and does not play a significant role in the development of otitis media.
Question 2 of 5
Which finding supports the nurse's evaluation that an older adult client with sepsis has maintained a normal mental status?
Correct Answer: C
Rationale: The correct answer is C because a client responding appropriately to questions indicates a normal mental status. This response demonstrates intact cognitive function and ability to understand and communicate effectively. Choice A, agitation, suggests altered mental status. Choice B, a Glasgow coma score of 4, indicates severe impairment. Choice D, fixed and dilated pupils, can be a sign of neurological dysfunction, not necessarily a reflection of mental status. Therefore, choice C is the best indicator of maintaining a normal mental status in an older adult with sepsis.
Question 3 of 5
The nurse is providing teaching to the family of an older adult client with a urinary tract infection (UTI). Which common early symptom that is likely to occur in older adults should the nurse stress?
Correct Answer: D
Rationale: The correct answer is D: Alteration in cognition. Older adults with UTIs commonly present with changes in cognition due to the infection affecting the brain. This is known as delirium, a common early symptom in this population. It is essential to stress this symptom because it can often be mistaken for other conditions like dementia. A: Urinary urgency is a common symptom in UTIs, but it is not specific to older adults. B: Blood in the urine, known as hematuria, is a less common symptom of UTIs and is not typically an early indicator. C: Urinary frequency is a common symptom in UTIs but is not specific to older adults and may not be an early indicator in this population.
Question 4 of 5
An occupational health nurse is screening a new employee in a long-term care facility for tuberculosis (TB). The employee questions why purified protein derivative (PPD) testing is done twice. Which is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because there is an increased risk of false-negative responses in individuals who work in long-term care facilities due to frequent exposure to TB. Conducting two PPD tests allows for a more accurate screening as the initial exposure may not trigger an immediate immune response detectable by the first test. By performing the second test, any delayed immune response can be captured, reducing the likelihood of missing an active TB infection. Option A is incorrect because the same PPD is used for both tests. Option B is incorrect as the rationale for repeating the PPD is not solely to verify the accuracy of the first test but to account for potential delayed immune responses. Option C is incorrect as the time frame for interpreting the PPD is standard and not the reason for performing two tests.
Question 5 of 5
The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which statement should the nurse include in the presentation?
Correct Answer: C
Rationale: The correct answer is C because women typically require a shorter course of antibiotic therapy to manage urinary tract infections (UTIs) compared to men due to differences in anatomy and physiology. Women have a shorter urethra, making it easier for bacteria to travel up to the bladder, leading to a higher incidence of UTIs. Men are less likely to experience descending UTIs compared to women. Straight catheterization is not the only way to evaluate for UTIs as other methods like urinalysis and urine culture can also be used. The rate of UTIs is higher in women than men, so the statement that the rate of UTIs is similar between men and women (choice D) is incorrect.