ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?
Correct Answer: A
Rationale: The correct answer is A because ciprofloxacin can increase sensitivity to the sun, leading to sunburn. Using sunscreen with a high SPF can help protect the skin from harmful UV rays. This is important to prevent skin damage and sunburn while on the medication. Choices B, C, and D are incorrect because they do not directly address the issue of sun sensitivity caused by ciprofloxacin. B discusses the effectiveness of the medication, C talks about an artificial-looking tan, and D addresses eye damage rather than skin protection.
Question 2 of 5
The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The correct answer is D because cleaning the skin with antimicrobial soap is a task that can be safely delegated to UAP. This task does not require specialized nursing knowledge or assessment skills. It is within the scope of practice for UAP and is important in preventing the spread of infection. Applying antibiotic cream (choice A) and obtaining cultures (choice B) require specific nursing assessments and skills. Evaluating personal hygiene (choice C) involves assessment and critical thinking, which are beyond the scope of practice for UAP.
Question 3 of 5
Which information obtained during the nurse’s assessment of a patient’s nutritional-metabolic pattern may indicate increased risk for musculoskeletal problems?
Correct Answer: C
Rationale: The correct answer is C because the patient being 5 ft, 2 in tall and weighing 180 lb indicates potential obesity, which can increase the risk for musculoskeletal problems. Excess weight puts strain on the bones and joints, leading to conditions like osteoarthritis. A: Taking a multivitamin daily is generally positive for overall health but does not directly indicate an increased risk for musculoskeletal problems. B: Disliking fruits and vegetables may point to potential nutritional deficiencies but does not directly indicate musculoskeletal issues. D: Preferring whole milk over nonfat milk may impact overall nutritional intake but is not directly linked to musculoskeletal problems. In summary, choice C is correct because obesity is a significant risk factor for musculoskeletal problems, while choices A, B, and D do not directly indicate an increased risk in this context.
Question 4 of 5
Which finding from analysis of fluid from a patient’s right knee arthrocentesis will be of concern to the nurse?
Correct Answer: A
Rationale: The correct answer is A: Cloudy fluid. Cloudy fluid from knee arthrocentesis indicates the presence of infection or inflammation, which can be concerning for the nurse. This finding suggests the presence of pus, white blood cells, or microorganisms in the fluid, indicating a possible septic joint. Scant thin fluid (B) is not concerning as it may indicate a non-inflammatory condition. Pale yellow (C) and straw-colored (D) fluids are normal findings in arthrocentesis and do not raise concerns for infection or inflammation.
Question 5 of 5
Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
Correct Answer: B
Rationale: The correct answer is B: Ask the patient about abdominal discomfort. This is important because the patient with a hip spica cast may experience pressure on the abdomen, leading to potential abdominal discomfort or complications. It is crucial to monitor for signs of abdominal issues promptly. A: Avoid placing the patient in prone position - While this is generally a good practice to prevent pressure ulcers, it is not directly related to the specific concern of abdominal discomfort in this scenario. C: Discuss remaining on bed rest for several weeks - While bed rest may be necessary for a period, it is not directly addressing the potential issue of abdominal discomfort from the spica cast. D: Use the cast support bar to reposition the patient - While repositioning the patient is important, the primary concern in this situation is monitoring for abdominal discomfort, not repositioning the patient.