ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
What documentation should be included in a wound assessment?
Correct Answer: A
Rationale: The correct answer is A because it includes essential elements for a comprehensive wound assessment. Redness indicates inflammation, edema shows swelling, ecchymosis indicates bleeding, drainage helps assess infection, approximation evaluates wound closure, and location provides contextual information. Choice B, reactive hyperemia, is not a standard component of wound assessment. Choice C, unusual skin mottling, is vague and not specific to wound assessment. Choice D, excessive pallor, is more related to skin color changes and may not always be relevant in wound assessment. Overall, choice A covers a wide range of key factors necessary for a thorough evaluation of a wound.
Question 2 of 5
The nurse is teaching a child care class for mothers of young children. What should the nurse teach as being the most common mode of transmission of infectious disease?
Correct Answer: D
Rationale: The correct answer is D because not washing hands after using the bathroom is the most common way for infectious diseases to spread due to contact with fecal matter containing harmful pathogens. This practice can lead to contamination of surfaces, food, and direct contact with others. Choices A, B, and C involve close contact activities but do not directly involve the transfer of pathogens as significantly as improper hand hygiene. Option A and B may involve some contact, but the level of exposure to pathogens is lower compared to not washing hands after using the bathroom. Option C involves sharing toys, which can spread germs, but it is not as common as the direct transmission through unwashed hands.
Question 3 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 4 of 5
A nurse caring for a client with cellulitis can expect to collaborate with which other member of the healthcare team?
Correct Answer: C
Rationale: The correct answer is C: Wound care specialist. In the case of cellulitis, a wound care specialist is crucial for managing and treating the infected area effectively. They have expertise in wound healing, infection control, and proper dressing techniques, which are essential for cellulitis treatment. Collaborating with a wound care specialist ensures the client receives appropriate care and helps prevent complications. The other choices (A, B, D) are not directly related to cellulitis management and would not provide the specialized care needed for this condition.
Question 5 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.