ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which of the following is not one of the four distinct patterns of pneumonia?
Correct Answer: C
Rationale: The correct answer is C: Alveolar pneumonia. Alveolar pneumonia is not one of the four distinct patterns of pneumonia. Lobar pneumonia involves consolidation of an entire lobe of the lung. Bronchopneumonia is characterized by patchy infiltrates around bronchi. Interstitial pneumonia affects the interstitium of the lung, while alveolar pneumonia primarily involves the alveoli. Alveolar pneumonia is more diffuse and involves the alveolar sacs and surrounding structures, differentiating it from the other patterns.
Question 2 of 5
The nurse is providing teaching to the family of an older adult client with a urinary tract infection (UTI). Which common early symptom that is likely to occur in older adults should the nurse stress?
Correct Answer: D
Rationale: The correct answer is D: Alteration in cognition. Older adults with UTIs commonly present with changes in cognition due to the infection affecting the brain. This is known as delirium, a common early symptom in this population. It is essential to stress this symptom because it can often be mistaken for other conditions like dementia. A: Urinary urgency is a common symptom in UTIs, but it is not specific to older adults. B: Blood in the urine, known as hematuria, is a less common symptom of UTIs and is not typically an early indicator. C: Urinary frequency is a common symptom in UTIs but is not specific to older adults and may not be an early indicator in this population.
Question 3 of 5
An occupational health nurse is screening a new employee in a long-term care facility for tuberculosis (TB). The employee questions why purified protein derivative (PPD) testing is done twice. Which is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because there is an increased risk of false-negative responses in individuals who work in long-term care facilities due to frequent exposure to TB. Conducting two PPD tests allows for a more accurate screening as the initial exposure may not trigger an immediate immune response detectable by the first test. By performing the second test, any delayed immune response can be captured, reducing the likelihood of missing an active TB infection. Option A is incorrect because the same PPD is used for both tests. Option B is incorrect as the rationale for repeating the PPD is not solely to verify the accuracy of the first test but to account for potential delayed immune responses. Option C is incorrect as the time frame for interpreting the PPD is standard and not the reason for performing two tests.
Question 4 of 5
The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. Which statement should the nurse include in the presentation?
Correct Answer: C
Rationale: The correct answer is C because women typically require a shorter course of antibiotic therapy to manage urinary tract infections (UTIs) compared to men due to differences in anatomy and physiology. Women have a shorter urethra, making it easier for bacteria to travel up to the bladder, leading to a higher incidence of UTIs. Men are less likely to experience descending UTIs compared to women. Straight catheterization is not the only way to evaluate for UTIs as other methods like urinalysis and urine culture can also be used. The rate of UTIs is higher in women than men, so the statement that the rate of UTIs is similar between men and women (choice D) is incorrect.
Question 5 of 5
During assessment of the patient’s skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?
Correct Answer: B
Rationale: The correct term to document the distribution of lesions on the left and right upper back areas is "Symmetric" (Choice B). This term indicates that the lesions are evenly distributed on both sides of the body, mirroring each other in a balanced pattern. "Confluent" (Choice A) refers to lesions merging together, "Zosteriform" (Choice C) relates to lesions following a dermatomal pattern, and "Generalized" (Choice D) indicates widespread distribution across the body. In this case, the lesions appearing on both sides of the upper back in a similar pattern suggest symmetry, making "Symmetric" the most appropriate term.