ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
What organism is most commonly responsible for cellulitis?
Correct Answer: D
Rationale: The correct answer is D: Staphylococcus aureus. Staphylococcus aureus is the most common organism responsible for cellulitis due to its ability to invade skin and soft tissues. It produces enzymes and toxins that contribute to tissue damage and inflammation. Staphylococcus epidermidis (A) is a common skin flora but less likely to cause cellulitis. Streptococcus pneumoniae (B) typically causes respiratory infections. Streptococcus viridans (C) is more associated with endocarditis.
Question 2 of 5
The nurse is caring for a group of clients with influenza. Which client should the nurse identify as being at greatest risk for complications?
Correct Answer: B
Rationale: The correct answer is B, a 72-year-old man, as he is at the greatest risk for complications due to influenza. Elderly individuals have weakened immune systems, making them more susceptible to severe complications like pneumonia. Younger individuals, such as the 53-year-old woman, 35-year-old woman, and 12-year-old boy, typically have stronger immune systems and are less likely to experience severe complications. Therefore, the 72-year-old man is at the highest risk due to age-related immune system decline.
Question 3 of 5
The body structure that provides a route by which infections organisms can enter the middle ear to cause otitis media is the
Correct Answer: B
Rationale: The correct answer is B: eustachian tube. The eustachian tube connects the middle ear to the nasopharynx, allowing for drainage of fluids and equalization of pressure. When this tube is blocked or dysfunctional, it can lead to accumulation of fluids and bacteria in the middle ear, causing otitis media. The nasopharynx (A) is a passageway for air and food, but the eustachian tube is the direct route to the middle ear. The tympanic membrane (C) is the eardrum that separates the outer and middle ear, providing protection rather than serving as an entry point for infections. The sinus cavity (D) is not directly connected to the middle ear and does not play a significant role in the development of otitis media.
Question 4 of 5
Which of the following is not one of the four distinct patterns of pneumonia?
Correct Answer: C
Rationale: The correct answer is C: Alveolar pneumonia. Alveolar pneumonia is not one of the four distinct patterns of pneumonia. Lobar pneumonia involves consolidation of an entire lobe of the lung. Bronchopneumonia is characterized by patchy infiltrates around bronchi. Interstitial pneumonia affects the interstitium of the lung, while alveolar pneumonia primarily involves the alveoli. Alveolar pneumonia is more diffuse and involves the alveolar sacs and surrounding structures, differentiating it from the other patterns.
Question 5 of 5
Which finding supports the nurse's evaluation that an older adult client with sepsis has maintained a normal mental status?
Correct Answer: C
Rationale: The correct answer is C because a client responding appropriately to questions indicates a normal mental status. This response demonstrates intact cognitive function and ability to understand and communicate effectively. Choice A, agitation, suggests altered mental status. Choice B, a Glasgow coma score of 4, indicates severe impairment. Choice D, fixed and dilated pupils, can be a sign of neurological dysfunction, not necessarily a reflection of mental status. Therefore, choice C is the best indicator of maintaining a normal mental status in an older adult with sepsis.