ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A toddler with otitis media is prescribed amoxicillin clavulanate 250 mg/5 mL three times daily by mouth for 10 days. What should the nurse teach the mother about this medication?
Correct Answer: B
Rationale: The correct answer is B: Give the antibiotic for the full 10 days as prescribed. The rationale is as follows: 1. Amoxicillin clavulanate is used to treat otitis media, and completing the full course is crucial to ensure the infection is completely eradicated. 2. Stopping the antibiotic prematurely can lead to antibiotic resistance and treatment failure. 3. Using a household teaspoon (Choice C) is inaccurate and can result in incorrect dosing. 4. Administering a loading dose (Choice D) is not necessary for this medication.
Question 5 of 5
Which intervention should the nurse carry out to manage fever in a client with pneumonia? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Administer antipyretic medications. Antipyretics help reduce fever by acting on the hypothalamus to lower the body's temperature set point. This intervention is effective and commonly used in managing fever in pneumonia. Choice A is incorrect as increasing room temperature can worsen the fever. Choice C is incorrect because fluid restriction can lead to dehydration, which is harmful during fever. Choice D is incorrect as using ice packs and tepid baths can cause temperature fluctuations, which are not ideal for fever management.