ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is assessing a client who is recovering following surgery. Which factor would increase this client's susceptibility to infection?
Correct Answer: B
Rationale: The presence of an incision increases the client's susceptibility to infection as it provides a direct entry point for pathogens. A breach in the skin barrier increases the risk of microbes entering the body and causing infection. Intact mucous membranes help protect against pathogens, making choice A incorrect. Dry skin may increase the risk of skin breakdown but does not directly impact susceptibility to infection. Active bowel sounds are indicative of bowel function and do not directly relate to susceptibility to infection, making choice D incorrect.
Question 2 of 5
When providing care to a client with a wound, which evidence-based interventions should the nurse anticipate carrying out? Select the one that does not apply
Correct Answer: B
Rationale: The correct answer is B. Covering the wound only if a scab forms is not an evidence-based intervention because it can interfere with the natural healing process. Keeping the wound dry (A) helps prevent infection. Ensuring the wound remains moist (C) promotes healing. Keeping the wound covered (D) provides protection and maintains a moist environment. In summary, B is incorrect because covering the wound based on scab formation does not align with best practices for wound care.
Question 3 of 5
The nurse is providing discharge instructions for a client who has acute conjunctivitis from Staphylococcus. Which should the nurse include when teaching this client? Select the one that does not apply
Correct Answer: A
Rationale: The correct answer is A: It is OK to share makeup once the infection has resolved. Sharing makeup can reintroduce bacteria to the eyes, leading to a reinfection. 1. Sharing makeup increases the risk of spreading the infection. 2. Staphylococcus is highly contagious and can easily be transmitted through shared makeup. 3. Proper hygiene practices, like not sharing makeup, are crucial in preventing the spread of conjunctivitis. 4. The other choices are correct: B emphasizes not sharing items to prevent spread, C suggests a helpful home treatment, and D promotes hand hygiene to prevent infection transmission.
Question 4 of 5
Because of the way the influenza virus is transmitted from person to person, nurses who are working with clients with influenza should implement
Correct Answer: A
Rationale: The correct answer is A: droplet precautions. Influenza virus is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. Droplet precautions involve wearing a mask and eye protection to prevent the spread of droplets. Isolation precautions (B) are used for infections spread by contact with the patient or their environment. Airborne precautions (C) are for infections transmitted through small particles that remain suspended in the air. Contact precautions (D) are for infections spread by direct or indirect contact with the patient or their environment. Droplet precautions are the most appropriate for influenza due to its mode of transmission through respiratory droplets.
Question 5 of 5
A client has completed the full course of antibiotics prescribed to treat otitis media. Which primary manifestation of the disorder will be relieved as evidence that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Pain. Effective treatment of otitis media should result in the relief of pain, which is a primary manifestation of the disorder. Antibiotics target the infection causing the inflammation and pain in the ear. Impaired hearing (A) may persist even after the infection is treated, as inflammation can take time to resolve. Dizziness (B) may be a symptom of inner ear involvement but is not the primary manifestation of otitis media. Nausea and vomiting (D) are not typically associated with otitis media and would not be relieved by completing the course of antibiotics.