The nurse is taking a health history for a patient who is ill in the emergency room. The patient states that he has not been around anyone that has been sick lately. The nurse suspects the patient likely contracted the illness by indirect transmission. Which is an example of this type of transmission?

Utilizing a friend's computer keyboard.

Talking directly to someone coughing.

Standing next to a person with a varicella (chickenpox) infection.

Walking past an individual coughing and sneezing.

Answer and Explanation

The Correct Answer is A

A.   Utilizing a friend's computer keyboard: Indirect transmission occurs when pathogens are transmitted via inanimate objects, such as keyboards, doorknobs, or utensils. If the friend's computer keyboard is contaminated with pathogens, the patient could contract an illness by touching it.
B.   Talking directly to someone coughing: This is an example of direct transmission, where pathogens are transmitted through close contact with an infected person's respiratory secretions.
C.   Standing next to a person with a varicella (chickenpox) infection: This is an example of direct transmission, as varicella is spread through respiratory droplets.
D.   Walking past an individual coughing and sneezing: This is also an example of direct transmission, as respiratory droplets containing pathogens can land on the nurse and lead to infection if inhaled or touched.

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Correct Answer is B

Explanation

A. Thickening of the epidermis: The epidermis tends to thin rather than thicken with aging.
Thinning of the epidermis can lead to increased vulnerability to injury and slower wound healing.
B. Thinning of the epidermis: Thinning of the epidermis is a common age-related change in the skin. This thinning can result in a decreased barrier function, making the skin more susceptible to damage and infection.
C. Oiliness of the skin: Older adults often experience a decrease in oil production, leading to drier skin rather than oilier skin.
D. Increased elasticity of the skin: With aging, the skin tends to lose elasticity, resulting in sagging and wrinkles rather than increased elasticity.

A. Bullae B. Nodules C. Papules D. Macules

Correct Answer is B

Explanation

A. Bullae: Bullae are fluid-filled lesions larger than 0.5 cm in diameter.
B. Nodules: Nodules are elevated, solid lesions deeper and firmer than papules, typically larger than 0.5 cm in diameter.
C. Papules: Papules are elevated, solid lesions smaller than 0.5 cm in diameter.
D. Macules: Macules are flat, colored lesions that are smaller than 1 cm in diameter.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older client and educating the student nurse on assessing the skin. The student nurse knows that an older client's skin is most likely to experience which of the following changes with aging?

Correct Answer is B

Explanation

A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse notes that the lesions are 2.5 cm in size, elevated, solid, and deep. The nurse should document the findings as which of the following skin lesions?

Correct Answer is B

Explanation

Which of the following assessments should be performed to monitor for impaired tissue integrity?

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

Which of the following interventions can help manage pain associated with impaired skin integrity?

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to interrupt the transmission of the client's infection?

A nurse is reinforcing teaching with a client about treatment of Methicillin-Resistant Staphylococcus Aureus (MRSA). Which of the following information should the nurse include in the teaching?

The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?

A patient has been recently diagnosed with an upper respiratory infection. His brother arrives and would like to visit. The patient says he is not feeling strong enough to have visitors. Which symptom would indicate to the nurse that the client is developing a complication?