ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
What documentation best describes the drainage from Aaron's wound?
Correct Answer: B
Rationale: The correct answer is B: Purulent. Purulent drainage is characterized by thick, yellow or green fluid containing pus, indicating an infection. This type of drainage is commonly associated with bacterial infections in wounds. In Aaron's case, the description of purulent drainage suggests an infection present in the wound. The other choices are incorrect because: A: Infectious does not specifically describe the appearance of the drainage. C: Serous drainage is clear and watery, not consistent with the description provided. D: Sanguineous drainage is bright red and composed of blood, not pus.
Question 2 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 3 of 5
The nurse is caring for a client who is admitted with cellulitis of the foot. Which assessment findings support this diagnosis?
Correct Answer: D
Rationale: The correct answer is D. Redness, pain, and edema at the site are classic signs of cellulitis, indicating localized inflammation and infection. BUN and creatinine (choice A) are not specific to cellulitis but may indicate impaired kidney function. Breath sounds (choice B) are related to respiratory assessment and not relevant to cellulitis. Blood cultures (choice C) may be ordered to identify the causative organism but are not immediate assessment findings of cellulitis. In summary, choices A, B, and C do not directly support the diagnosis of cellulitis, while choice D aligns with the typical clinical presentation of the condition.
Question 4 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 5 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.