ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse is teaching a group of adolescents at a local high school about skin infections. Which students should the nurse identify as being at increased risk for developing cellulitis? Select the one that does not apply
Correct Answer: C
Rationale: The correct answer is C. Cellulitis is a bacterial skin infection that can occur when bacteria enter through a break in the skin. Students who are at increased risk include those with compromised immune systems, chronic conditions like diabetes (B), and those who engage in behaviors that can introduce bacteria into the skin, such as plucking eyebrows (A) or squeezing pimples (D). Being a member of the golf team (C) does not inherently increase the risk of developing cellulitis unless there is a specific behavior or condition associated with golfing that could lead to skin infections. Thus, option C does not apply in this context.
Question 2 of 5
A labor and delivery nurse is providing care for a neonate in the first few minutes after birth. One action the nurse will take to promote eye health and prevent conjunctivitis in the infant is administration of
Correct Answer: B
Rationale: The correct answer is B: erythromycin as an eye ointment. The rationale for this is that erythromycin is commonly used as prophylaxis to prevent neonatal conjunctivitis caused by Chlamydia trachomatis or Neisseria gonorrhoeae. It is applied within the first hour after birth to prevent the transmission of these bacteria from the mother to the infant during delivery. Oral tetracycline (A) is not recommended in neonates due to potential tooth discoloration and skeletal growth inhibition. Ceftriaxone (C) is not typically used in neonatal eye infections. Parenteral acyclovir (D) is used to treat herpes infections, not to prevent neonatal conjunctivitis.
Question 3 of 5
The nurse walks into an examination room and sees a young child demonstrate a specific behavior. (See image.) The nurse recognizes this behavior is most characteristic of which health problem?
Correct Answer: C
Rationale: The image shows a child pulling at their ear, which is a common sign of otitis media, an inflammation of the middle ear. This behavior indicates ear pain or discomfort, a key symptom of otitis media. Sore throat (A) typically presents with throat pain, not ear pulling. Hunger (B) would not manifest as ear pulling behavior. Head cold (D) may have nasal congestion and runny nose but not ear pulling. Therefore, option C is the most appropriate choice based on the presented behavior.
Question 4 of 5
Which child has a risk factor for developing otitis media?
Correct Answer: D
Rationale: The correct answer is D because attending daycare exposes the child to more germs, increasing the risk of otitis media due to frequent infections. Young children in daycare settings are more prone to viral and bacterial infections, leading to ear infections. Other choices lack this direct link to increased exposure to germs. Choice A's activities are not directly related to otitis media. Choice B living on a farm does not inherently increase the risk of ear infections. Choice C staying with her grandmother does not involve the same level of exposure to germs as attending daycare does.
Question 5 of 5
Which type of pneumonia rarely occurs in individuals with normal immune function?
Correct Answer: B
Rationale: The correct answer is B: Pneumonia caused by Pneumocystis jiroveci rarely occurs in individuals with normal immune function because it primarily affects immunocompromised individuals, such as those with HIV/AIDS. Pneumonia caused by the influenza virus (A), Mycoplasma pneumoniae (C), and Streptococcus pneumoniae (D) can occur in individuals with normal immune function. This is due to the fact that these pathogens can cause pneumonia in individuals regardless of their immune status.