ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is providing care for a pediatric client with bacterial conjunctivitis. Which interventions should the nurse use as part of the collaborative management of the client? Select the one that does not apply
Correct Answer: B
Rationale: Correct Answer: B - Recommending removing contacts at night Rationale: 1. Bacterial conjunctivitis can be exacerbated by wearing contact lenses, so it is important to avoid wearing them. 2. A - Recommending dark sunglasses can help protect the eyes from light sensitivity and reduce discomfort. 3. C - Contacting the client's school nurse can help prevent the spread of infection in a communal setting. 4. D - Performing careful hand hygiene is crucial to prevent the spread of the infection to others.
Question 2 of 5
The nurse correctly explains to a young mother that bottle-feeding an infant in the upright position may help to prevent which infectious health problem?
Correct Answer: D
Rationale: The correct answer is D: Otitis media. Bottle-feeding in an upright position helps prevent fluid from entering the middle ear, reducing the risk of otitis media. This infection occurs when bacteria from the nose and throat travel through the Eustachian tube to the middle ear. By keeping the infant upright during feeding, gravity helps prevent this bacterial migration. Choices A, B, and C are incorrect as bottle-feeding in an upright position does not directly impact choking, aspiration, or sinus infections.
Question 3 of 5
The nurse is caring for a client with pneumonia. Which intervention should the nurse include in this client's plan of care to promote effective airway clearance?
Correct Answer: A
Rationale: The correct answer is A because chest percussion helps loosen and mobilize secretions in the lungs, promoting effective airway clearance in pneumonia. It should be performed regularly to prevent mucus buildup. B: Administering the pneumococcal vaccine is important for preventing pneumonia but does not directly address airway clearance. C: Limiting fluid intake may lead to dehydration and thickening of secretions, worsening airway clearance. D: Smoking cessation education is important for overall lung health but does not directly address airway clearance in pneumonia.
Question 4 of 5
The nurse is providing teaching on preventing sepsis. Which should the nurse include as a major risk factor for the development of this health problem?
Correct Answer: C
Rationale: The correct answer is C: Undiagnosed urinary tract infection. UTI is a major risk factor for sepsis as it can lead to bacterial infection spreading to the bloodstream. This can result in systemic inflammation and organ dysfunction, which are characteristic of sepsis. Pneumococcal bacteria (choice A) and leukocytosis (choice B) are not risk factors but rather potential indicators of infection. Elevated temperature (choice D) may indicate infection, but it is not a specific risk factor for sepsis like an untreated UTI.
Question 5 of 5
The nurse is preparing to assess an older adult client admitted with tuberculosis. Which assessment finding does the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: Cough. In tuberculosis, a persistent cough is a common symptom due to infection of the lungs. This is caused by the Mycobacterium tuberculosis bacteria affecting the respiratory system. Night sweats (A) are also common in tuberculosis but are not specific to this condition. Swollen lymph nodes (B) typically occur in other infections such as bacterial or viral illnesses. Hemoptysis (D), which is coughing up blood, is a severe symptom seen in advanced stages of tuberculosis but not an early assessment finding.