ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
Which child has a risk factor for developing otitis media?
Correct Answer: D
Rationale: The correct answer is D because attending daycare exposes the child to more germs, increasing the risk of otitis media due to frequent infections. Young children in daycare settings are more prone to viral and bacterial infections, leading to ear infections. Other choices lack this direct link to increased exposure to germs. Choice A's activities are not directly related to otitis media. Choice B living on a farm does not inherently increase the risk of ear infections. Choice C staying with her grandmother does not involve the same level of exposure to germs as attending daycare does.
Question 2 of 5
The nurse is admitting a client to the intensive care unit. Earlier, the client presented to the emergency department in early septic shock. Given this information, which assessment findings should the nurse anticipate? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Rapid and deep respirations. In early septic shock, the body compensates by increasing the respiratory rate to improve oxygenation. Rapid and deep respirations help maintain oxygen levels. A: Normal blood pressure is not expected in septic shock, as blood pressure tends to drop due to vasodilation. C: Shallow respirations are unlikely as the body usually tries to compensate for decreased oxygen perfusion by increasing the depth of respirations. D: Warm and flushed skin is not typical in septic shock, as the body's response to vasodilation is often cool, clammy skin.
Question 3 of 5
Which question best helps the nurse establish a common cause of recurrent urinary tract infections (UTIs) in a preadolescent female client?
Correct Answer: D
Rationale: The correct answer is D because wiping from back to front after a bowel movement can introduce bacteria from the rectal area to the urethra, leading to UTIs. This is particularly important in preadolescent girls with shorter urethras. Choice A focuses on past occurrences, not prevention. Choice B relates to hygiene but not directly to UTIs. Choice C is important but not as directly related to UTI prevention as proper wiping technique.
Question 4 of 5
The nurse has provided teaching on multidrug treatment to a client with tuberculosis. Which statement by the client indicates that the teaching was effective?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates an understanding of the rationale behind using multiple drugs to treat tuberculosis, which is to prevent the development of drug resistance. Option A is incorrect because the purpose of multidrug treatment is not to develop immunity. Option B is incorrect as the source of infection does not determine the need for multiple drugs. Option C is incorrect as the duration of treatment is not solely based on contagiousness, but rather on preventing drug resistance.
Question 5 of 5
A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
Correct Answer: B
Rationale: The correct answer is B. The method of contraception used by the patient is crucial because fluorouracil is a teratogenic medication, meaning it can cause birth defects. Therefore, it is essential to determine the patient's contraceptive method to ensure she is not at risk of becoming pregnant while using this medication. Choice A (History of sun exposure) may be relevant but not as critical as ensuring the patient is using proper contraception. Choice C (Length of time using fluorouracil) is important but does not address immediate safety concerns. Choice D (Appearance of treated areas) is important for monitoring treatment progress but does not impact the patient's safety like contraception does.