ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is caring for a client who is admitted with cellulitis of the foot. Which assessment findings support this diagnosis?
Correct Answer: D
Rationale: The correct answer is D. Redness, pain, and edema at the site are classic signs of cellulitis, indicating localized inflammation and infection. BUN and creatinine (choice A) are not specific to cellulitis but may indicate impaired kidney function. Breath sounds (choice B) are related to respiratory assessment and not relevant to cellulitis. Blood cultures (choice C) may be ordered to identify the causative organism but are not immediate assessment findings of cellulitis. In summary, choices A, B, and C do not directly support the diagnosis of cellulitis, while choice D aligns with the typical clinical presentation of the condition.
Question 2 of 5
A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Conjunctivitis. Extended-wear contact lenses can increase the risk of developing conjunctivitis due to reduced oxygen flow to the eyes. Teaching the client proper hygiene practices and lens care can help reduce this risk. Choice B, C, and D are incorrect because cataracts, glaucoma, and macular degeneration are not directly associated with extended-wear contact lenses, but rather with other factors like aging, genetics, and lifestyle choices.
Question 3 of 5
The nurse is caring for a group of clients with influenza. Which client should the nurse identify as being at greatest risk for complications?
Correct Answer: B
Rationale: The correct answer is B, a 72-year-old man, as he is at the greatest risk for complications due to influenza. Elderly individuals have weakened immune systems, making them more susceptible to severe complications like pneumonia. Younger individuals, such as the 53-year-old woman, 35-year-old woman, and 12-year-old boy, typically have stronger immune systems and are less likely to experience severe complications. Therefore, the 72-year-old man is at the highest risk due to age-related immune system decline.
Question 4 of 5
The body structure that provides a route by which infections organisms can enter the middle ear to cause otitis media is the
Correct Answer: B
Rationale: The correct answer is B: eustachian tube. The eustachian tube connects the middle ear to the nasopharynx, allowing for drainage of fluids and equalization of pressure. When this tube is blocked or dysfunctional, it can lead to accumulation of fluids and bacteria in the middle ear, causing otitis media. The nasopharynx (A) is a passageway for air and food, but the eustachian tube is the direct route to the middle ear. The tympanic membrane (C) is the eardrum that separates the outer and middle ear, providing protection rather than serving as an entry point for infections. The sinus cavity (D) is not directly connected to the middle ear and does not play a significant role in the development of otitis media.
Question 5 of 5
Which of the following is not one of the four distinct patterns of pneumonia?
Correct Answer: C
Rationale: The correct answer is C: Alveolar pneumonia. Alveolar pneumonia is not one of the four distinct patterns of pneumonia. Lobar pneumonia involves consolidation of an entire lobe of the lung. Bronchopneumonia is characterized by patchy infiltrates around bronchi. Interstitial pneumonia affects the interstitium of the lung, while alveolar pneumonia primarily involves the alveoli. Alveolar pneumonia is more diffuse and involves the alveolar sacs and surrounding structures, differentiating it from the other patterns.