ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse caring for a client at risk for tuberculosis (TB) should include which symptoms of the disease when educating the client? Select all that apply.
Correct Answer: A
Rationale: Step 1: Fatigue is a common symptom of tuberculosis due to the body's immune response to the infection. Step 2: Low-grade morning fever is not specific to TB and can be seen in various other infections. Step 3: A productive cough that later turns dry is more characteristic of other respiratory conditions, not necessarily TB. Step 4: Weight loss is a common symptom of TB due to the body's increased metabolic demands fighting the infection. Summary: Fatigue is directly related to the body's response to TB infection, making it a key symptom to educate the client about. Other choices are less specific to TB and may be seen in various other conditions.
Question 2 of 5
Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?
Correct Answer: A
Rationale: The correct answer is A because ciprofloxacin can increase sensitivity to the sun, leading to sunburn. Using sunscreen with a high SPF can help protect the skin from harmful UV rays. This is important to prevent skin damage and sunburn while on the medication. Choices B, C, and D are incorrect because they do not directly address the issue of sun sensitivity caused by ciprofloxacin. B discusses the effectiveness of the medication, C talks about an artificial-looking tan, and D addresses eye damage rather than skin protection.
Question 3 of 5
A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?
Correct Answer: D
Rationale: The correct answer is D: Have the patient use protective eyewear while receiving PUVA. This is crucial to protect the patient's eyes from potential damage caused by exposure to UV light during the treatment. Failure to wear protective eyewear can lead to serious eye complications such as cataracts or damage to the cornea. Shielding unaffected areas with lead-lined drapes (choice A) is not necessary as the focus should be on protecting the eyes. Applying petroleum jelly (choice B) may interfere with the effectiveness of the treatment. Cleansing the skin with antiseptic soap (choice C) is not directly related to preventing adverse effects from PUVA therapy.
Question 4 of 5
The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The correct answer is D because cleaning the skin with antimicrobial soap is a task that can be safely delegated to UAP. This task does not require specialized nursing knowledge or assessment skills. It is within the scope of practice for UAP and is important in preventing the spread of infection. Applying antibiotic cream (choice A) and obtaining cultures (choice B) require specific nursing assessments and skills. Evaluating personal hygiene (choice C) involves assessment and critical thinking, which are beyond the scope of practice for UAP.
Question 5 of 5
Which information obtained during the nurse’s assessment of a patient’s nutritional-metabolic pattern may indicate increased risk for musculoskeletal problems?
Correct Answer: C
Rationale: The correct answer is C because the patient being 5 ft, 2 in tall and weighing 180 lb indicates potential obesity, which can increase the risk for musculoskeletal problems. Excess weight puts strain on the bones and joints, leading to conditions like osteoarthritis. A: Taking a multivitamin daily is generally positive for overall health but does not directly indicate an increased risk for musculoskeletal problems. B: Disliking fruits and vegetables may point to potential nutritional deficiencies but does not directly indicate musculoskeletal issues. D: Preferring whole milk over nonfat milk may impact overall nutritional intake but is not directly linked to musculoskeletal problems. In summary, choice C is correct because obesity is a significant risk factor for musculoskeletal problems, while choices A, B, and D do not directly indicate an increased risk in this context.