ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
What equipment will the nurse use to assess the length of a sinus tract?
Correct Answer: C
Rationale: The correct answer is C: Sterile cotton-tipped applicator. The nurse will use this equipment to assess the length of a sinus tract by gently inserting the applicator into the tract until resistance is felt, then marking the length on the applicator. Sterile gloves and lubricant (A) are used for wound care but not specifically for measuring the length of a sinus tract. Sterile tape measure (B) is not suitable for measuring inside a tract. Sterile irrigation tray with syringe (D) is used for wound irrigation, not for measuring the length of a sinus tract.
Question 2 of 5
A type of infection that is associated with the delivery of healthcare services in a facility such as a hospital or nursing home is called a(n)
Correct Answer: C
Rationale: The correct answer is C: healthcare-associated infection. This term is used to describe infections acquired while receiving healthcare in a facility, encompassing hospitals and nursing homes. It is a broader term that includes infections acquired in any healthcare setting, not just hospitals. A: Etiologic infection refers to the cause of a disease, not specifically related to healthcare settings. B: Latent infection refers to an infection where the causative agent is present but not causing symptoms at the moment. D: Hospital-associated infection is more specific to infections acquired within a hospital setting, excluding infections acquired in other healthcare facilities.
Question 3 of 5
The nurse is providing discharge instructions to a client recovering from cellulitis. Which client statement indicates that this teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding of the importance of monitoring for signs of infection after cellulitis. Fever, chills, malaise, redness, or tenderness at the site are all indicative of infection worsening. This client statement shows awareness of the need for ongoing vigilance. Choice B is incorrect because stopping antibiotics prematurely can lead to antibiotic resistance and recurrence of infection. Choice C is incorrect because squeezing pustules can introduce further infection or worsen the condition. Choice D is incorrect because drainage from the site may indicate ongoing infection and should be monitored closely.
Question 4 of 5
The nurse is providing care for a pediatric client with bacterial conjunctivitis. Which interventions should the nurse use as part of the collaborative management of the client? Select the one that does not apply
Correct Answer: B
Rationale: Correct Answer: B - Recommending removing contacts at night Rationale: 1. Bacterial conjunctivitis can be exacerbated by wearing contact lenses, so it is important to avoid wearing them. 2. A - Recommending dark sunglasses can help protect the eyes from light sensitivity and reduce discomfort. 3. C - Contacting the client's school nurse can help prevent the spread of infection in a communal setting. 4. D - Performing careful hand hygiene is crucial to prevent the spread of the infection to others.
Question 5 of 5
Necrosis of respiratory epithelial cells and shedding of serous and ciliated cells of the respiratory tract produce which common symptom of influenza?
Correct Answer: D
Rationale: The shedding of serous and ciliated cells in the respiratory tract leads to rhinorrhea, which is a common symptom of influenza. This process causes an increase in nasal secretions and results in a runny nose. Malaise (A) is a general feeling of discomfort, not directly related to shedding of respiratory cells. Coryza (B) refers to nasal congestion, not shedding of cells. Cough (C) is more commonly associated with irritation of the respiratory tract, not shedding of cells. Therefore, D is the correct answer.