ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is teaching a class on infection control. Which nursing measure is most appropriate in breaking a link in the chain of infection?
Correct Answer: B
Rationale: The correct answer is B: Use personal protective equipment (PPE). PPE helps prevent the spread of infectious agents by creating a barrier between the nurse and potentially infectious materials. By wearing PPE, the nurse can protect themselves and others from exposure to harmful pathogens, thus breaking the chain of infection. A: Placing contaminated linens in a paper bag does not directly address the prevention of transmission of infection. C: Covering a cough by placing the mouth in the hand is not an effective infection control measure as it can lead to the spread of germs through contact with surfaces. D: Wearing sterile gloves for client care is important but may not be the most appropriate measure to break the chain of infection in all situations.
Question 2 of 5
What organism is most commonly responsible for cellulitis?
Correct Answer: D
Rationale: The correct answer is D: Staphylococcus aureus. Staphylococcus aureus is the most common organism responsible for cellulitis due to its ability to invade skin and soft tissues. It produces enzymes and toxins that contribute to tissue damage and inflammation. Staphylococcus epidermidis (A) is a common skin flora but less likely to cause cellulitis. Streptococcus pneumoniae (B) typically causes respiratory infections. Streptococcus viridans (C) is more associated with endocarditis.
Question 3 of 5
A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Conjunctivitis. Extended-wear contact lenses can increase the risk of developing conjunctivitis due to reduced oxygen flow to the eyes. Teaching the client proper hygiene practices and lens care can help reduce this risk. Choice B, C, and D are incorrect because cataracts, glaucoma, and macular degeneration are not directly associated with extended-wear contact lenses, but rather with other factors like aging, genetics, and lifestyle choices.
Question 4 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 5 of 5
The body structure that provides a route by which infections organisms can enter the middle ear to cause otitis media is the
Correct Answer: B
Rationale: The correct answer is B: eustachian tube. The eustachian tube connects the middle ear to the nasopharynx, allowing for drainage of fluids and equalization of pressure. When this tube is blocked or dysfunctional, it can lead to accumulation of fluids and bacteria in the middle ear, causing otitis media. The nasopharynx (A) is a passageway for air and food, but the eustachian tube is the direct route to the middle ear. The tympanic membrane (C) is the eardrum that separates the outer and middle ear, providing protection rather than serving as an entry point for infections. The sinus cavity (D) is not directly connected to the middle ear and does not play a significant role in the development of otitis media.