ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse encourages Aaron to select which breakfast items to provide a good source of protein?
Correct Answer: D
Rationale: The correct answer is D, eggs and orange juice. Eggs are an excellent source of high-quality protein. They provide essential amino acids needed for growth and repair of body tissues. Orange juice is a good source of vitamin C, which helps with the absorption of iron from eggs. Whole wheat toast with butter (A) and bagels with cream cheese (B) are higher in carbohydrates and fats, not protein. Oatmeal and a banana (C) are healthy options but do not provide as much protein as eggs.
Question 2 of 5
The nurse is caring for a client who is hospitalized for cellulitis of the foot. Which nursing diagnoses should the nurse use to plan this client's care? Select the one that does not apply
Correct Answer: A
Rationale: The correct answer is A: Social Isolation related to skin infection. Cellulitis primarily affects the physical aspect of the client's health, not their social interactions. The client's main concerns are related to the physical symptoms, such as impaired skin integrity, acute pain, and disturbed sleep pattern. These nursing diagnoses directly address the client's physical needs and promote healing. Social isolation is not directly related to cellulitis and would not be a priority nursing diagnosis in this case.
Question 3 of 5
The nurse is assessing a college student who presents with red, swollen eyes; photophobia; and yellowish drainage from the conjunctiva. Which question should the nurse ask the client first?
Correct Answer: D
Rationale: The correct question to ask the client first is D: "Have any of your friends experienced these symptoms?" This question helps identify if the symptoms are due to a contagious condition like conjunctivitis, commonly known as pink eye. By inquiring about friends' symptoms, the nurse can assess potential exposure and recommend appropriate precautions. Explanation for other choices: A: Asking about caffeine consumption is unrelated to the client's eye symptoms. B: Inquiring about sand in the eye is not relevant to the symptoms described. C: Asking about HIV exposure is not the priority as the symptoms presented are indicative of a different condition.
Question 4 of 5
The nurse is caring for a client who presents with acute malaise, muscle aches, and fever. Which additional assessment findings should the nurse recognize as consistent with influenza? Select the one that does not apply
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Influenza typically presents with symptoms such as malaise, muscle aches, fever, and a nonproductive cough. Hypotension is not a common symptom of influenza. It is more indicative of other conditions like sepsis or dehydration. Difficulty urinating is not typically associated with influenza either. A lack of recent vaccinations (choice A) can contribute to susceptibility to influenza, and a nonproductive cough (choice B) is a common respiratory symptom seen in influenza cases. Thus, hypotension is the outlier among these assessment findings.
Question 5 of 5
The nurse is caring for a client who refuses treatment for otitis media. The nurse correctly teaches the client that she is at increased risk for developing which condition?
Correct Answer: B
Rationale: The correct answer is B: Meningitis. Otitis media is an infection of the middle ear, and if left untreated, the infection can spread to the meninges, causing meningitis. Meningitis is a serious condition that can lead to inflammation of the brain and spinal cord. This progression from otitis media to meningitis highlights the importance of treating infections promptly to prevent complications. Choices A, C, and D are incorrect as there is no direct causal relationship between otitis media and external otitis, pneumonia, or influenza.