Infection
Skin Integrity
Inflammation
Immunity
Tissue Integrity
100

A nurse is caring for a patient suspected of having an infection. Which diagnostic test should be done before administering antibiotics?

Culture and sensitivity

100

What is the primary reason gloves should be worn during a skin assessment?

To reduce the risk of transmitting infection

100

Which of the following are cardinal signs of inflammation? (Select all that apply.)

heat, erythema, swelling and pain


100

Which immunoglobulin is the most abundant and provides long-term immunity after infection or vaccination?

Ig G

100

What causes tissue anoxia in pressure injuries?

Pressure against the skin

200

A nurse is entering the room of a patient with tuberculosis. Which personal protective equipment (PPE) must be used?

Fit-tested HEPA respirator

200

A nurse notes red-purple spots on a patient’s skin smaller than 0.5 mm. How should this finding be documented?

Petechiae

200

How long does acute inflammation typically last after an injury?

24-48 hours 

200

Which of the following best describes artificially acquired passive immunity?

Preformed antibodies injected post-exposure

200

Which of the following is a category assessed in the Braden scale? (Select all that apply.)

sensory perception, moisture, nutrition, friction and shear 

300

A patient with Clostridioides difficile (C. diff) infection is being cared for in the hospital. What is the proper hand hygiene method after providing care for this patient?

Wash hands with soap and water for 20 seconds

300

What is a Wood light examination used to detect?

fungal infections like ringworm 

300

Which chemical mediator prevents blood clotting during the inflammatory process?

Heparin

300

Monoclonal antibodies are used for:

Enhancing the immune response to specific antigens

300

What does yellow tissue in a pressure injury indicate?

slough or infection

400

A nurse is teaching a group of nursing students about breaking the chain of infection. Which of the following interventions targets the "portal of entry" link?

Applying sterile dressings to open wounds

400

What causes secondary lesions?

Changes in primary lesions due to burning or itching

400

Which of the following findings indicates systemic inflammation? (Select all that apply.)

High temperature, WBC >12,000, and high pulse

400

Which is an example of artificially acquired active immunity?

Receiving a vaccine 

400

Which of the following factors can exacerbate psoriasis? (Select all that apply.)

stress, cold weather, and hormone changes

500

Which laboratory test is used as an early screen for inflammation during an infection?

Erythrocyte sedimentation rate (ESR)

500

Which of the following is a known risk factor for developing skin disorders?

medication exposure 

500

What is the role of prostaglandins in the inflammatory response?

Stimulating pain and vasodilation

500

Which type of lymphocyte is derived from the thymus?

T cells


500

Which nursing diagnosis is appropriate for a patient with chronic dermatitis?

disturbed body image 

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