ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
Which term is commonly used by clients to describe conjunctivitis?
Correct Answer: B
Rationale: The correct answer is B: Pink eye. Clients commonly use this term to describe conjunctivitis due to the characteristic pink or red appearance of the eye. Conjunctivitis is an inflammation of the conjunctiva, the thin membrane covering the white part of the eye. A stye (A) is a localized infection in an eyelash follicle, not the same as conjunctivitis. Red eye (C) is a general term for any redness in the eye, not specific to conjunctivitis. Retinitis (D) refers to inflammation of the retina, which is not the same as conjunctivitis.
Question 2 of 5
The nurse is teaching the parents of an infant who is diagnosed with acute otitis media. Which is the priority teaching point for these parents?
Correct Answer: C
Rationale: The correct answer is C: Administer acetaminophen to relieve pain and decrease fever. This is the priority teaching point as it addresses the immediate symptoms of acute otitis media, providing comfort to the infant. Decongestants (choice A) are not typically recommended for infants with otitis media. Keeping the baby in a flat position during sleep (choice B) can increase the risk of ear infections. Using a pacifier (choice D) is not directly related to managing the symptoms of otitis media. Acetaminophen is safe and effective for reducing pain and fever in infants, making it the most appropriate choice in this scenario.
Question 3 of 5
The nurse is caring for a client who develops a fever and productive cough after abdominal surgery. Which orders should the nurse expect from the healthcare provider? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Chest physiotherapy. After abdominal surgery, the client is at risk for developing atelectasis due to shallow breathing and ineffective coughing. Chest physiotherapy helps improve lung expansion and secretion clearance, preventing complications like pneumonia. Sputum cultures (A) and bronchial washing for culture (D) are not typically indicated in this scenario unless there are specific indications such as suspected infection. Antibiotics (B) should not be given prophylactically without evidence of infection. In summary, chest physiotherapy is essential for preventing respiratory complications post-abdominal surgery, while the other options are not necessary unless there are specific indications.
Question 4 of 5
The nurse is caring for an older adult client who developed sepsis from a pressure ulcer while residing in a long-term care facility. The family asks how they can help prevent this from happening again in the future. Which response by the nurse is best?
Correct Answer: D
Rationale: Correct Answer: D. Assist the client with meals to obtain optimal nourishment. Rationale: 1. Optimal nourishment is crucial for the client's immune system to fight off infection. 2. Malnutrition can weaken the body's ability to heal and recover. 3. Adequate nutrition is essential for tissue repair and prevention of pressure ulcers. Summary: A: Alerting the staff about the IV is important but not directly related to preventing pressure ulcers. B: Helping with dressing changes is beneficial, but nutrition plays a more significant role in preventing sepsis. C: Assisting the client to the bathroom is important for fall prevention but does not directly address the underlying cause of sepsis from pressure ulcers.
Question 5 of 5
The nurse is planning care for a client recently diagnosed with tuberculosis (TB). The client lives alone in an apartment and will continue treatment at home. When reviewing the client's history, the nurse notes that the client has had trouble complying with medication regimens in the past. Which nursing diagnosis is a priority for this client?
Correct Answer: A
Rationale: The correct answer is A: Ineffective Health Management. This is because the client's history of noncompliance with medication regimens indicates a potential risk for ineffective management of their health. This diagnosis is a priority as ensuring adherence to TB treatment is crucial for the client's health and preventing the spread of the disease. Choice B: Deficient Knowledge may not be the priority as the client's issue seems to be related to compliance rather than lack of knowledge. Choice C: Ineffective Breathing Pattern and Choice D: Risk for Injury are not as directly related to the client's history of medication noncompliance. The priority is to address the client's difficulty in managing their health effectively.