ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The most common source for bacteria that cause a urinary tract infection is
Correct Answer: B
Rationale: The correct answer is B because the mucous membranes of the perineal area, located near the urinary tract, are a common entry point for bacteria causing UTIs. Bacteria from the perineal area can easily travel to the urinary tract and cause an infection. A catheter (A) may introduce bacteria but is not the most common source. Hands (C) can transfer bacteria, but the perineal area is more direct. Clothing (D) is unlikely to be a primary source of UTI-causing bacteria.
Question 2 of 5
When performing a skin assessment, the nurse notes angiomas on the chest of an older patient. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B because angiomas on the chest can be a sign of liver disease. The nurse should assess the patient for other signs of liver disease, such as jaundice or abdominal distension. This can help in early detection and management of liver issues. Choice A is incorrect as referring to a dermatologist would not address the underlying cause of the angiomas. Choice C is incorrect as it does not address the potential health concern indicated by the angiomas. Choice D is incorrect as it does not address the specific issue of liver disease associated with angiomas.
Question 3 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 4 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 5 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.