ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
What is the purpose of a wet-to-dry dressing?
Correct Answer: A
Rationale: The purpose of a wet-to-dry dressing is to mechanically debride the tissue, which involves removing dead or infected tissue through the physical action of the dressing. First, the wet dressing helps to soften and loosen the necrotic tissue. Then, as the dressing dries, it adheres to the dead tissue and upon removal, it pulls the debris away, promoting a clean wound bed. This process facilitates wound healing by promoting tissue regeneration. Other choices are incorrect because reducing local tissue maceration and preventing bacterial growth are not the primary purposes of a wet-to-dry dressing. Additionally, preserving granulation tissue is not the intended goal of this dressing method.
Question 2 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 3 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 4 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.
Question 5 of 5
Because of the way the influenza virus is transmitted from person to person, nurses who are working with clients with influenza should implement
Correct Answer: A
Rationale: The correct answer is A: droplet precautions. Influenza virus is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. Droplet precautions involve wearing a mask and eye protection to prevent the spread of droplets. Isolation precautions (B) are used for infections spread by contact with the patient or their environment. Airborne precautions (C) are for infections transmitted through small particles that remain suspended in the air. Contact precautions (D) are for infections spread by direct or indirect contact with the patient or their environment. Droplet precautions are the most appropriate for influenza due to its mode of transmission through respiratory droplets.