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ATI RN · ATI Fundamentals · Skin Integrity and Wound Care NCLEX Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What organism is most commonly responsible for cellulitis?

A. Staphylococcus epidermidis
B. Streptococcus pneumoniae
C. Streptococcus viridans
D. Staphylococcus aureus

Expert Explanatory Rationale

Correct Answer: Staphylococcus aureus

Question 2 of 5

The nurse is caring for a patient who has perineal skin breakdown after sitting in wet underclothes for many hours. Which term will be used to document the patient's condition in the medical record?

A. Maceration
B. Dehiscence
C. Evisceration
D. Debridement

Expert Explanatory Rationale

Correct Answer: Maceration

Question 3 of 5

The nurse is caring for a patient who is to be discharged from the hospital 4 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?

A. I should not cross my legs while sitting.'
B. I will use a toilet elevator on the toilet seat.'
C. I will have someone else put on my shoes and socks.'
D. I can sleep in any position that is comfortable for me.'

Expert Explanatory Rationale

Correct Answer: I can sleep in any position that is comfortable for me.'

Question 4 of 5

The nurse is caring for a group of clients with influenza. Which client should the nurse identify as being at greatest risk for complications?

A. A 53-year-old woman
B. A 72-year-old man
C. A 35-year-old woman
D. A 12-year-old boy

Expert Explanatory Rationale

Correct Answer: A 72-year-old man

Question 5 of 5

The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?

A. Clean the infected areas with soap and water.
B. Apply alcohol-based cleansers on the lesions.
C. Avoid use of antibiotic ointments on the lesions.
D. Use petroleum jelly (Vaseline) to soften crusty areas.

Expert Explanatory Rationale

Correct Answer: Clean the infected areas with soap and water.

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