ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse. The client has a chronic nonproductive cough. For which should the nurse expect to screen this client?
Correct Answer: D
Rationale: The correct answer is D: Tuberculosis. Given the client's history of drug abuse and chronic nonproductive cough, the nurse should screen for TB due to its high prevalence among homeless individuals and its association with respiratory symptoms. TB can easily spread in crowded environments like homeless shelters. Herpes zoster (A) is a viral infection causing a painful rash, not typically associated with a chronic cough. Sickle cell disease (B) is a genetic blood disorder, unrelated to the client's symptoms. Sick sinus syndrome (C) is a cardiac condition characterized by abnormal heart rhythms, not typically presenting with a chronic cough. In summary, TB is the most likely condition to screen for based on the client's history and symptoms.
Question 2 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 3 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 4 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 5 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.