ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
What initial action should the nurse take when Aaron expresses frustration?
Correct Answer: B
Rationale: The correct initial action for the nurse to take when Aaron expresses frustration is to offer him the opportunity to discuss his feelings of anger and hopelessness (Choice B). This is the best approach because it shows empathy and allows Aaron to express his emotions, which can help in understanding the root cause of his frustration. Confronting him (Choice A) may escalate the situation and worsen his behavior. Involving Aaron's parents (Choice C) without first addressing Aaron's feelings directly may not be effective. Lastly, reassuring him about his future hospital visits (Choice D) does not address the current emotional distress he is experiencing. In summary, Choice B is the most appropriate as it focuses on addressing Aaron's emotions and providing a supportive environment for him to express his frustrations.
Question 2 of 5
Which client should the nurse anticipate will have the greatest psychosocial needs?
Correct Answer: D
Rationale: The correct answer is D because a client in isolation typically has limited social interaction, leading to increased feelings of loneliness, anxiety, and depression. Isolation can have a significant impact on psychosocial well-being. In contrast, clients under standard precautions (Choice A) and droplet precautions (Choice C) can still have regular social interactions. Choice B, a client taking antibiotics, does not directly correlate with increased psychosocial needs. In summary, clients in isolation are more likely to have greater psychosocial needs compared to the other options.
Question 3 of 5
On which region of the body would the nurse most expect to observe erysipelas?
Correct Answer: B
Rationale: The correct answer is B: Ankles. Erysipelas is a bacterial skin infection typically caused by Streptococcus bacteria. The lower extremities, especially the ankles, are common sites for erysipelas due to factors like compromised circulation and skin trauma increasing susceptibility. Erysipelas presents with well-defined, raised, and erythematous patches on the skin, commonly seen on the lower legs and ankles. The infection usually affects the superficial layers of the skin and subcutaneous tissues, leading to characteristic symptoms such as warmth, pain, and swelling in the affected area. Choices A, C, and D are incorrect as erysipelas typically occurs on the lower extremities rather than the abdomen, neck, or back.
Question 4 of 5
The nurse is assessing a client who presents with purulent drainage and crusting of the eye. The nurse should recognize that these findings are most consistent with which type of infection?
Correct Answer: C
Rationale: The correct answer is C: Bacterial conjunctivitis. Purulent drainage and crusting of the eye are indicative of a bacterial infection. Bacterial conjunctivitis typically presents with these symptoms due to the bacterial presence causing inflammation and discharge. Viral conjunctivitis (A) may have watery discharge, while allergic conjunctivitis (B) is characterized by itching and clear discharge. Fungal conjunctivitis (D) is rare and usually presents with a slow onset and may involve a white patch on the eye.
Question 5 of 5
Which oral antiviral drug that is commonly prescribed for influenza A and B works by preventing the release of newly formed virus?
Correct Answer: C
Rationale: The correct answer is C: Oseltamivir (Tamiflu). Oseltamivir is a neuraminidase inhibitor, which works by preventing the release of newly formed virus particles from infected cells. This stops the spread of the virus in the body. Rimantadine and Amantadine (choices A and D) are M2 ion channel blockers that prevent the virus from entering the host cell. Zanamivir (choice B) is also a neuraminidase inhibitor like Oseltamivir, but it is administered via inhalation instead of orally. Therefore, the correct choice is Oseltamivir as it targets the release of newly formed virus particles, distinguishing it from the other options.