ATI RN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
Which actions should the nurse take to help the client with bowel and bladder dysfunction reduce the risk of infection? Select the one that does not apply
Correct Answer: A
Rationale: The correct answer is A: Isolate the client using transmission-based precautions. This is incorrect because bowel and bladder dysfunction does not typically require isolation measures unless there is a specific infectious disease present. B: Monitoring intake and output is important to assess kidney function and fluid balance in clients with bowel and bladder dysfunction. C: Providing hygienic care after episodes of incontinence helps prevent skin breakdown and infections. D: Using standard precautions when handling linen after episodes of incontinence is necessary to prevent the spread of infections to healthcare workers and other clients.
Question 2 of 5
A client receiving intravenous antibiotics for 3 days as treatment for cellulitis is being prepared for discharge. Which discharge order should the nurse anticipate for this client?
Correct Answer: C
Rationale: The correct answer is C: Oral antibiotics to be continued at home. This is the most appropriate discharge order as the client with cellulitis may need to continue antibiotic therapy beyond the IV treatment to ensure complete resolution of the infection. Continuing oral antibiotics at home helps prevent recurrence and promotes full recovery. A: Low-sodium diet prescribed - While a healthy diet is important, it is not directly related to the treatment of cellulitis. B: Home healthcare aide for the client - This may be needed for some clients, but it is not the priority in this case. D: Orders for evaluation by physical therapy - Physical therapy is not typically indicated for cellulitis treatment, so this would not be the most relevant discharge order.
Question 3 of 5
The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis. Which statement made by the mother indicates teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C because washing hands before instilling the medication helps prevent the spread of infection. Dropping medication onto the eyeball (A) can be harmful. Waiting 10 seconds between drops (B) is not necessary. Rubbing the eye with a cotton ball after administering the medication (D) can introduce bacteria.
Question 4 of 5
Which interventions should the nurse incorporate into the plan of care for a client diagnosed with influenza? Select the one that does not apply
Correct Answer: B
Rationale: Correct Answer: B - Placing the client in a negative air flow room does not apply. Influenza is primarily spread through respiratory droplets and contact, not airborne transmission. Therefore, a negative air flow room is not necessary. Rationale: A: Placing droplet and contact precaution signs is important to alert staff and visitors to take necessary precautions. C: Placing a ventilator is not necessary for influenza treatment, as it is a respiratory infection, not a condition requiring mechanical ventilation. D: Notifying other departments is crucial for infection control and prevention, to ensure appropriate measures are taken to prevent the spread of influenza.
Question 5 of 5
Which instruction should the nurse provide to an adolescent client with otitis media with regard to pain?
Correct Answer: B
Rationale: The correct answer is B: Report abrupt relief of pain immediately. This instruction is important because sudden relief of pain in otitis media may indicate rupture of the eardrum, which requires immediate medical attention. Applying a cold compress (A) may provide temporary relief but does not address the underlying issue. Continuing air travel (C) can worsen otitis media due to changes in air pressure. Reporting increased pain when moving the outer ear (D) may indicate an external ear infection, not specific to otitis media.