ATI RN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
Which protective equipment will the nurse use when providing the prescribed wound care for MRSA?
Correct Answer: D
Rationale: The correct answer is D because MRSA is a highly contagious bacterium that can be transmitted through contact with infected wounds or secretions. Gloves are necessary to protect against direct contact, a gown adds an extra layer of protection for clothing contamination, goggles protect the eyes from splashes, and a face mask prevents inhalation of MRSA particles. Using only gloves (A) is insufficient protection. Adding a gown (B) is better but does not protect the face and eyes. Adding goggles (C) provides protection for the eyes but not the face. The most comprehensive protection is achieved with gloves, gown, goggles, and a face mask (D).
Question 2 of 5
A pregnant client tested positive for group B streptococcus during her 36-week checkup. For which intervention should the nurse prepare the client in order to prevent transmission of infection to the neonate?
Correct Answer: D
Rationale: The correct answer is D: Administration of antibiotics to the client during labor. This is because giving antibiotics to the mother during labor can significantly reduce the risk of transmitting Group B streptococcus to the neonate during delivery. The antibiotics help to eradicate the bacteria in the birth canal, thus decreasing the chances of the baby becoming infected during birth. Not breastfeeding the neonate during the first week after birth (choice A) is not the correct intervention as breastfeeding is still recommended even if the mother is positive for Group B streptococcus. Administration of antibiotics to the neonate after birth (choice B) is not the first-line intervention as preventing transmission during labor is more effective than treating the neonate after birth. Delivery by cesarean section (choice C) is not the preferred intervention unless there are other obstetric indications for a cesarean section. Administering antibiotics to the client during labor (choice D) is the most appropriate intervention to prevent transmission of infection to the
Question 3 of 5
A client receiving intravenous antibiotics for 3 days as treatment for cellulitis is being prepared for discharge. Which discharge order should the nurse anticipate for this client?
Correct Answer: C
Rationale: The correct answer is C: Oral antibiotics to be continued at home. This is the most appropriate discharge order as the client with cellulitis may need to continue antibiotic therapy beyond the IV treatment to ensure complete resolution of the infection. Continuing oral antibiotics at home helps prevent recurrence and promotes full recovery. A: Low-sodium diet prescribed - While a healthy diet is important, it is not directly related to the treatment of cellulitis. B: Home healthcare aide for the client - This may be needed for some clients, but it is not the priority in this case. D: Orders for evaluation by physical therapy - Physical therapy is not typically indicated for cellulitis treatment, so this would not be the most relevant discharge order.
Question 4 of 5
The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis. Which statement made by the mother indicates teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C because washing hands before instilling the medication helps prevent the spread of infection. Dropping medication onto the eyeball (A) can be harmful. Waiting 10 seconds between drops (B) is not necessary. Rubbing the eye with a cotton ball after administering the medication (D) can introduce bacteria.
Question 5 of 5
Which interventions should the nurse incorporate into the plan of care for a client diagnosed with influenza? Select the one that does not apply
Correct Answer: B
Rationale: Correct Answer: B - Placing the client in a negative air flow room does not apply. Influenza is primarily spread through respiratory droplets and contact, not airborne transmission. Therefore, a negative air flow room is not necessary. Rationale: A: Placing droplet and contact precaution signs is important to alert staff and visitors to take necessary precautions. C: Placing a ventilator is not necessary for influenza treatment, as it is a respiratory infection, not a condition requiring mechanical ventilation. D: Notifying other departments is crucial for infection control and prevention, to ensure appropriate measures are taken to prevent the spread of influenza.