ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
Which type of pneumonia rarely occurs in individuals with normal immune function?
Correct Answer: B
Rationale: The correct answer is B: Pneumonia caused by Pneumocystis jiroveci rarely occurs in individuals with normal immune function because it primarily affects immunocompromised individuals, such as those with HIV/AIDS. Pneumonia caused by the influenza virus (A), Mycoplasma pneumoniae (C), and Streptococcus pneumoniae (D) can occur in individuals with normal immune function. This is due to the fact that these pathogens can cause pneumonia in individuals regardless of their immune status.
Question 2 of 5
Which question best helps the nurse establish a common cause of recurrent urinary tract infections (UTIs) in a preadolescent female client?
Correct Answer: D
Rationale: The correct answer is D because wiping from back to front after a bowel movement can introduce bacteria from the rectal area to the urethra, leading to UTIs. This is particularly important in preadolescent girls with shorter urethras. Choice A focuses on past occurrences, not prevention. Choice B relates to hygiene but not directly to UTIs. Choice C is important but not as directly related to UTI prevention as proper wiping technique.
Question 3 of 5
The nurse has provided teaching on multidrug treatment to a client with tuberculosis. Which statement by the client indicates that the teaching was effective?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates an understanding of the rationale behind using multiple drugs to treat tuberculosis, which is to prevent the development of drug resistance. Option A is incorrect because the purpose of multidrug treatment is not to develop immunity. Option B is incorrect as the source of infection does not determine the need for multiple drugs. Option C is incorrect as the duration of treatment is not solely based on contagiousness, but rather on preventing drug resistance.
Question 4 of 5
A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
Correct Answer: B
Rationale: The correct answer is B. The method of contraception used by the patient is crucial because fluorouracil is a teratogenic medication, meaning it can cause birth defects. Therefore, it is essential to determine the patient's contraceptive method to ensure she is not at risk of becoming pregnant while using this medication. Choice A (History of sun exposure) may be relevant but not as critical as ensuring the patient is using proper contraception. Choice C (Length of time using fluorouracil) is important but does not address immediate safety concerns. Choice D (Appearance of treated areas) is important for monitoring treatment progress but does not impact the patient's safety like contraception does.
Question 5 of 5
A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Thickening of the skin around the ankles. Chronic scratching due to itching can lead to lichenification, which is thickening and hardening of the skin. This is a common skin finding in individuals who continuously scratch the affected area. Hypertrophied scars (choice A) are more likely to occur with trauma or injury, not chronic itching. Yellowish-brown skin (choice C) may indicate underlying conditions like jaundice, not necessarily related to chronic itching. Complete absence of melanin (choice D) is not a typical finding related to chronic itching. Therefore, the correct assessment finding would be thickening of the skin around the ankles due to chronic scratching.