ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is admitting a client to the intensive care unit. Earlier, the client presented to the emergency department in early septic shock. Given this information, which assessment findings should the nurse anticipate? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Rapid and deep respirations. In early septic shock, the body compensates by increasing the respiratory rate to improve oxygenation. Rapid and deep respirations help maintain oxygen levels. A: Normal blood pressure is not expected in septic shock, as blood pressure tends to drop due to vasodilation. C: Shallow respirations are unlikely as the body usually tries to compensate for decreased oxygen perfusion by increasing the depth of respirations. D: Warm and flushed skin is not typical in septic shock, as the body's response to vasodilation is often cool, clammy skin.
Question 4 of 5
Which question best helps the nurse establish a common cause of recurrent urinary tract infections (UTIs) in a preadolescent female client?
Correct Answer: D
Rationale: The correct answer is D because wiping from back to front after a bowel movement can introduce bacteria from the rectal area to the urethra, leading to UTIs. This is particularly important in preadolescent girls with shorter urethras. Choice A focuses on past occurrences, not prevention. Choice B relates to hygiene but not directly to UTIs. Choice C is important but not as directly related to UTI prevention as proper wiping technique.
Question 5 of 5
The nurse has provided teaching on multidrug treatment to a client with tuberculosis. Which statement by the client indicates that the teaching was effective?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates an understanding of the rationale behind using multiple drugs to treat tuberculosis, which is to prevent the development of drug resistance. Option A is incorrect because the purpose of multidrug treatment is not to develop immunity. Option B is incorrect as the source of infection does not determine the need for multiple drugs. Option C is incorrect as the duration of treatment is not solely based on contagiousness, but rather on preventing drug resistance.