ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client with gangrene of the toe. Which collaborative intervention should the nurse anticipate preparing the client for?
Correct Answer: A
Rationale: The correct answer is A: Surgery. In the case of gangrene of the toe, surgical intervention is often necessary to remove the dead tissue and prevent further spread of infection. Surgery can involve amputation of the affected toe or foot to save the client's life and prevent complications. Debridement (choice B) is a related procedure but may not be sufficient in severe cases of gangrene. Myringotomy (choice C) is a procedure to relieve pressure or drain fluid from the middle ear, not related to gangrene treatment. Wound irrigation (choice D) is a general wound care procedure and may not address the severity of gangrene effectively.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is caring for a client who develops a fever and productive cough after abdominal surgery. Which orders should the nurse expect from the healthcare provider? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Chest physiotherapy. After abdominal surgery, the client is at risk for developing atelectasis due to shallow breathing and ineffective coughing. Chest physiotherapy helps improve lung expansion and secretion clearance, preventing complications like pneumonia. Sputum cultures (A) and bronchial washing for culture (D) are not typically indicated in this scenario unless there are specific indications such as suspected infection. Antibiotics (B) should not be given prophylactically without evidence of infection. In summary, chest physiotherapy is essential for preventing respiratory complications post-abdominal surgery, while the other options are not necessary unless there are specific indications.