ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
Which finding supports the nurse's evaluation that an older adult client with sepsis has maintained a normal mental status?
Correct Answer: C
Rationale: The correct answer is C because a client responding appropriately to questions indicates a normal mental status. This response demonstrates intact cognitive function and ability to understand and communicate effectively. Choice A, agitation, suggests altered mental status. Choice B, a Glasgow coma score of 4, indicates severe impairment. Choice D, fixed and dilated pupils, can be a sign of neurological dysfunction, not necessarily a reflection of mental status. Therefore, choice C is the best indicator of maintaining a normal mental status in an older adult with sepsis.
Question 4 of 5
The nurse is providing teaching to the family of an older adult client with a urinary tract infection (UTI). Which common early symptom that is likely to occur in older adults should the nurse stress?
Correct Answer: D
Rationale: The correct answer is D: Alteration in cognition. Older adults with UTIs commonly present with changes in cognition due to the infection affecting the brain. This is known as delirium, a common early symptom in this population. It is essential to stress this symptom because it can often be mistaken for other conditions like dementia. A: Urinary urgency is a common symptom in UTIs, but it is not specific to older adults. B: Blood in the urine, known as hematuria, is a less common symptom of UTIs and is not typically an early indicator. C: Urinary frequency is a common symptom in UTIs but is not specific to older adults and may not be an early indicator in this population.
Question 5 of 5
An occupational health nurse is screening a new employee in a long-term care facility for tuberculosis (TB). The employee questions why purified protein derivative (PPD) testing is done twice. Which is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because there is an increased risk of false-negative responses in individuals who work in long-term care facilities due to frequent exposure to TB. Conducting two PPD tests allows for a more accurate screening as the initial exposure may not trigger an immediate immune response detectable by the first test. By performing the second test, any delayed immune response can be captured, reducing the likelihood of missing an active TB infection. Option A is incorrect because the same PPD is used for both tests. Option B is incorrect as the rationale for repeating the PPD is not solely to verify the accuracy of the first test but to account for potential delayed immune responses. Option C is incorrect as the time frame for interpreting the PPD is standard and not the reason for performing two tests.