ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
What etiology should the nurse identify for 'Impaired skin integrity'?
Correct Answer: C
Rationale: The correct answer is C: Impaired physical mobility. Impaired physical mobility can lead to pressure ulcers and skin breakdown due to prolonged pressure on specific areas. This etiology directly impacts skin integrity. Noncompliance with turning schedule (A) can contribute to skin breakdown but is not the primary etiology. Poor nutritional intake (B) can affect wound healing but is not directly related to skin integrity. Impaired adjustment (D) is not a recognized etiology for impaired skin integrity.
Question 2 of 5
The nurse is assessing a client who is recovering following surgery. Which factor would increase this client's susceptibility to infection?
Correct Answer: B
Rationale: The presence of an incision increases the client's susceptibility to infection as it provides a direct entry point for pathogens. A breach in the skin barrier increases the risk of microbes entering the body and causing infection. Intact mucous membranes help protect against pathogens, making choice A incorrect. Dry skin may increase the risk of skin breakdown but does not directly impact susceptibility to infection. Active bowel sounds are indicative of bowel function and do not directly relate to susceptibility to infection, making choice D incorrect.
Question 3 of 5
Which agent can be used to destroy pathogens other than spores?
Correct Answer: B
Rationale: The correct answer is B: Disinfectant. Disinfectants are agents used to destroy pathogens on surfaces or objects, but they are not effective against spores. Antiseptics are used on living tissues, sterilizing agents eliminate all microorganisms including spores, and isolating agents do not destroy pathogens. Disinfectants are the best choice for destroying pathogens other than spores due to their effectiveness on surfaces.
Question 4 of 5
When providing care to a client with a wound, which evidence-based interventions should the nurse anticipate carrying out? Select the one that does not apply
Correct Answer: B
Rationale: The correct answer is B. Covering the wound only if a scab forms is not an evidence-based intervention because it can interfere with the natural healing process. Keeping the wound dry (A) helps prevent infection. Ensuring the wound remains moist (C) promotes healing. Keeping the wound covered (D) provides protection and maintains a moist environment. In summary, B is incorrect because covering the wound based on scab formation does not align with best practices for wound care.
Question 5 of 5
The nurse is providing discharge instructions for a client who has acute conjunctivitis from Staphylococcus. Which should the nurse include when teaching this client? Select the one that does not apply
Correct Answer: A
Rationale: The correct answer is A: It is OK to share makeup once the infection has resolved. Sharing makeup can reintroduce bacteria to the eyes, leading to a reinfection. 1. Sharing makeup increases the risk of spreading the infection. 2. Staphylococcus is highly contagious and can easily be transmitted through shared makeup. 3. Proper hygiene practices, like not sharing makeup, are crucial in preventing the spread of conjunctivitis. 4. The other choices are correct: B emphasizes not sharing items to prevent spread, C suggests a helpful home treatment, and D promotes hand hygiene to prevent infection transmission.