ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client who is exhibiting signs of a systemic infection following surgery. Which diagnostic tests would the nurse anticipate being ordered? Select the one that does not apply
Correct Answer: A
Rationale: The correct answer is A: Serum electrolyte levels. In a client exhibiting signs of systemic infection, diagnostic tests typically include white blood cell differential and count to assess for infection. Urinalysis may reveal signs of infection in the urinary system. Serum electrolyte levels are not directly related to diagnosing systemic infection and would not be a priority in this scenario. Monitoring electrolyte levels is important for other conditions like dehydration or kidney disease.
Question 2 of 5
The nurse is caring for a client who has been diagnosed with orbital cellulitis. Which assessment finding should the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Edema of the affected eye. Orbital cellulitis is characterized by inflammation and infection of the tissues surrounding the eye, leading to swelling and edema. This assessment finding is expected due to the inflammatory response. Sunken eyes (A) are not typically associated with orbital cellulitis. Increased acuity of the affected eye (C) is unlikely as the infection can impair vision. Elevated blood pressure (D) is not a typical assessment finding for orbital cellulitis.
Question 3 of 5
Which term is commonly used by clients to describe conjunctivitis?
Correct Answer: B
Rationale: The correct answer is B: Pink eye. Clients commonly use this term to describe conjunctivitis due to the characteristic pink or red appearance of the eye. Conjunctivitis is an inflammation of the conjunctiva, the thin membrane covering the white part of the eye. A stye (A) is a localized infection in an eyelash follicle, not the same as conjunctivitis. Red eye (C) is a general term for any redness in the eye, not specific to conjunctivitis. Retinitis (D) refers to inflammation of the retina, which is not the same as conjunctivitis.
Question 4 of 5
What should the nurse recommend for a pregnant client who is concerned about a recent flu outbreak?
Correct Answer: A
Rationale: The correct answer is A. The nurse should recommend that the client receive the influenza vaccination because it is safe during pregnancy and helps protect both the mother and the baby from potential complications of the flu. Vaccination is the most effective way to prevent flu infection. Choice B is incorrect because staying home does not provide the same level of protection as vaccination. Choice C is incorrect as amantadine is not recommended during pregnancy due to potential risks to the fetus. Choice D is incorrect as while a healthy diet is important, it is not sufficient to protect against the flu during pregnancy.
Question 5 of 5
The nurse is teaching the parents of an infant who is diagnosed with acute otitis media. Which is the priority teaching point for these parents?
Correct Answer: C
Rationale: The correct answer is C: Administer acetaminophen to relieve pain and decrease fever. This is the priority teaching point as it addresses the immediate symptoms of acute otitis media, providing comfort to the infant. Decongestants (choice A) are not typically recommended for infants with otitis media. Keeping the baby in a flat position during sleep (choice B) can increase the risk of ear infections. Using a pacifier (choice D) is not directly related to managing the symptoms of otitis media. Acetaminophen is safe and effective for reducing pain and fever in infants, making it the most appropriate choice in this scenario.