ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 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 2 of 5
The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which statement should the nurse include in the presentation?
Correct Answer: C
Rationale: The correct answer is C because women typically require a shorter course of antibiotic therapy to manage urinary tract infections (UTIs) compared to men due to differences in anatomy and physiology. Women have a shorter urethra, making it easier for bacteria to travel up to the bladder, leading to a higher incidence of UTIs. Men are less likely to experience descending UTIs compared to women. Straight catheterization is not the only way to evaluate for UTIs as other methods like urinalysis and urine culture can also be used. The rate of UTIs is higher in women than men, so the statement that the rate of UTIs is similar between men and women (choice D) is incorrect.
Question 3 of 5
During assessment of the patient’s skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?
Correct Answer: B
Rationale: The correct term to document the distribution of lesions on the left and right upper back areas is "Symmetric" (Choice B). This term indicates that the lesions are evenly distributed on both sides of the body, mirroring each other in a balanced pattern. "Confluent" (Choice A) refers to lesions merging together, "Zosteriform" (Choice C) relates to lesions following a dermatomal pattern, and "Generalized" (Choice D) indicates widespread distribution across the body. In this case, the lesions appearing on both sides of the upper back in a similar pattern suggest symmetry, making "Symmetric" the most appropriate term.
Question 4 of 5
The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A: Clean the infected areas with soap and water. This is because impetigo is a bacterial skin infection that requires good hygiene to prevent spreading. Cleaning the infected areas with soap and water helps to remove bacteria and crusty discharge. Choice B is incorrect because alcohol-based cleansers can be too harsh and irritating to the skin, further aggravating the lesions. Choice C is also incorrect as antibiotic ointments are commonly used to treat impetigo by killing the bacteria causing the infection. Choice D is incorrect because using petroleum jelly may trap bacteria and moisture, worsening the infection. It is important to keep the affected areas clean and dry to promote healing.
Question 5 of 5
The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
Correct Answer: C
Rationale: The correct answer is C because using bacitracin-neomycin-polymyxin on minor abrasions can actually worsen contact dermatitis due to the risk of allergic reactions and delayed wound healing. The other choices are appropriate for managing contact dermatitis symptoms: A) corticosteroid cream helps reduce inflammation and itching, B) oilated oatmeal can soothe and moisturize the skin, and D) diphenhydramine can provide relief from itching. Overall, choice C is incorrect as it can exacerbate the condition, making it crucial for patient teaching to avoid such products for minor abrasions in the setting of contact dermatitis.