ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 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.
Question 2 of 5
The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse. The client has a chronic nonproductive cough. For which should the nurse expect to screen this client?
Correct Answer: D
Rationale: The correct answer is D: Tuberculosis. Given the client's history of drug abuse and chronic nonproductive cough, the nurse should screen for TB due to its high prevalence among homeless individuals and its association with respiratory symptoms. TB can easily spread in crowded environments like homeless shelters. Herpes zoster (A) is a viral infection causing a painful rash, not typically associated with a chronic cough. Sickle cell disease (B) is a genetic blood disorder, unrelated to the client's symptoms. Sick sinus syndrome (C) is a cardiac condition characterized by abnormal heart rhythms, not typically presenting with a chronic cough. In summary, TB is the most likely condition to screen for based on the client's history and symptoms.
Question 3 of 5
The most common source for bacteria that cause a urinary tract infection is
Correct Answer: B
Rationale: The correct answer is B because the mucous membranes of the perineal area, located near the urinary tract, are a common entry point for bacteria causing UTIs. Bacteria from the perineal area can easily travel to the urinary tract and cause an infection. A catheter (A) may introduce bacteria but is not the most common source. Hands (C) can transfer bacteria, but the perineal area is more direct. Clothing (D) is unlikely to be a primary source of UTI-causing bacteria.
Question 4 of 5
The infecting organism that causes tuberculosis is
Correct Answer: D
Rationale: The correct answer is D: Mycobacterium tuberculosis. Mycobacterium tuberculosis is the causative organism of tuberculosis, a bacterial infection affecting the lungs. The genus Mycobacterium includes various species, but M. tuberculosis specifically causes tuberculosis. Micrococcus tuberculosis (A) and Microbacterium tuberculosis (B) are not valid scientific names. Mycoplasma tuberculosis (C) is incorrect as Mycoplasma is a different genus known for lacking a cell wall and causing different types of infections.
Question 5 of 5
When performing a skin assessment, the nurse notes angiomas on the chest of an older patient. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B because angiomas on the chest can be a sign of liver disease. The nurse should assess the patient for other signs of liver disease, such as jaundice or abdominal distension. This can help in early detection and management of liver issues. Choice A is incorrect as referring to a dermatologist would not address the underlying cause of the angiomas. Choice C is incorrect as it does not address the potential health concern indicated by the angiomas. Choice D is incorrect as it does not address the specific issue of liver disease associated with angiomas.