ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the arm for extra support. The nurse responds knowing that which would most likely result from this improper crutch measurement?
Correct Answer: B
Rationale: Crutches resting under the armpits can compress the brachial plexus nerves, leading to nerve damage, numbness, or weakness in the arm. Proper crutch fit places weight on the hands, not the axilla.
Question 2 of 5
The client comes to the clinic and is diagnosed with otitis media. Which intervention should the clinic nurse include in the discharge teaching?
Correct Answer: C
Rationale: Abrupt pain relief may indicate tympanic membrane rupture, a complication of otitis media, requiring immediate medical attention.
Question 3 of 5
Which behavior by the male client should make the nurse suspect the client has a hearing loss? Select all that apply.
Correct Answer: B
Rationale: Irritability and ignoring others are common behaviors associated with hearing loss.
Question 4 of 5
The nurse writes a problem of 'altered body image' for a 34-year-old client diagnosed with Cushing's disease. Which intervention should be implemented?
Correct Answer: C
Rationale: Altered body image in Cushing's (e.g., moon face, buffalo hump) requires addressing emotional impact through communication.
Question 5 of 5
The nurse is discussing the endocrine system with the client. Which endocrine gland secretes epinephrine and norepinephrine?
Correct Answer: C
Rationale: The adrenal medulla secretes catecholamines (epinephrine and norepinephrine).