ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 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.
Question 2 of 5
The provider has ordered fluid administration for a pediatric client with pneumonia. The client weighs 81.6 lb (37 kg). The nurse should expect to administer ________ mL of fluid per day for this client.
Correct Answer: A
Rationale: To calculate fluid administration for a pediatric client, use the formula: 100 mL/kg for the first 10 kg, 50 mL/kg for the next 10 kg, and 20 mL/kg for each kg above 20 kg. For a 37 kg client, the calculation is: (10 kg x 100 mL) + (10 kg x 50 mL) + (7 kg x 20 mL) = 1840 mL/day (Answer A). This is the correct answer because it follows the appropriate formula based on the client's weight. Choices B, C, and D are incorrect as they do not follow the correct calculation method for fluid administration based on weight.
Question 3 of 5
List the pathophysiology concepts related to the onset of sepsis in sequential order.
Correct Answer: A
Rationale: The correct sequence for the pathophysiology of sepsis onset is as follows: 1. Macrophage-producing cytokines are released. 2. Endotoxin released by microorganisms triggers an inflammatory response. 3. Neutrophils arrive and multiply, leading to capillary occlusion. 4. Vasodilation occurs with increased capillary permeability and fluid leak. Macrophage cytokines initiate the cascade of events by signaling the immune response. Endotoxin release exacerbates inflammation. Neutrophil accumulation causes capillary blockage. Vasodilation and increased permeability follow, leading to septic shock. Other choices are incorrect as they do not follow the correct sequence of events in sepsis pathophysiology.
Question 4 of 5
The nurse is providing teaching to parents about urinary tract infections (UTIs) in preschool children. The nurse should inform the parents that which of the following are common symptoms of UTI in this age group? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Urinary urgency. In preschool children, common symptoms of UTI include urinary urgency due to the irritation of the bladder lining by the infection. Elevated blood pressure is not a common symptom of UTI in this age group. Dysuria, or painful urination, can also be a symptom but is less common in preschool children. Fever is a common symptom of UTI, but it is not specific to this age group as it can occur in various infections. Therefore, the most specific and common symptom of UTI in preschool children is urinary urgency.
Question 5 of 5
The nurse is caring for a client who is admitted to the unit with tuberculosis (TB). Which type of isolation room is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Isolation room with an anteroom and negative airflow. This is appropriate for TB as it prevents contaminated air from escaping the room, reducing the risk of transmission. Negative airflow ensures air flows into the room, capturing and containing infectious particles. A: Positive airflow would allow contaminated air to escape. C: Normal airflow may not contain infectious particles effectively. D: Normal airflow could lead to potential spread of TB outside the room.