ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 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.
Question 2 of 5
A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because a thin, scaly erythematous plaque may indicate skin cancer, such as squamous cell carcinoma. A skin biopsy is crucial to confirm the diagnosis and determine the appropriate treatment plan. Choice B is incorrect as corticosteroid cream is not suitable for potential skin cancer. Choice C is incorrect as tretinoin is mainly used for acne and photoaging, not for suspected skin cancer. Choice D is incorrect as antibiotics are not typically indicated for non-infectious skin conditions like squamous cell carcinoma.
Question 3 of 5
Which information will the nurse include when teaching an older patient about skin care?
Correct Answer: C
Rationale: The correct answer is C: Use warm water and a moisturizing soap when bathing. This is because warm water helps maintain skin hydration and a moisturizing soap prevents dryness, which is crucial for older adults with naturally drier skin. Washing with soap daily (option B) can strip the skin of its natural oils, leading to further dryness. Option A is incorrect because drying the skin thoroughly can exacerbate dryness. Option D is incorrect as antibacterial soaps can be harsh and drying, and unnecessary for routine skin care.
Question 4 of 5
A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D because asking the patient to describe the impact of psoriasis on quality of life is the first step in understanding the patient's perspective and needs. This allows the nurse to assess the severity of the emotional and social impact, which can guide further interventions. Options A, B, and C do not address the root cause of the patient's social withdrawal and may not be as effective in addressing the patient's emotional distress.
Question 5 of 5
The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient’s muscle strength as level
Correct Answer: C
Rationale: The correct answer is C (2). This patient demonstrates muscle strength that is graded as 2 according to the Medical Research Council (MRC) scale. A score of 2 indicates that the patient can move the joint against gravity but not against resistance. Choices A, B, and D are incorrect because they represent different levels of muscle strength based on the MRC scale. Choice A (0) indicates no muscle contraction, choice B (1) indicates a flicker or trace of contraction, and choice D (3) indicates movement against gravity but not against resistance. Therefore, the best description of the patient's muscle strength in this scenario is level 2.