ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A client has a history of malignant hyperthermia. A bowel resection with colostomy placement surgery is scheduled. The nurse anticipates which type of anesthesia will be used with this client?
Correct Answer: D
Rationale: The client is having major surgery requiring general anesthesia. Inhaled anesthesia can trigger malignant hyperthermia, so total intravenous anesthesia would be used instead.
Question 2 of 5
A woman is scheduled to undergo a laparoscopic procedure. Which of the following statements by the client indicates the need for further education?
Correct Answer: D
Rationale: Shoulder pain is expected after laparoscopy due to injected air and does not typically signal a complication, indicating a need for further education.
Question 3 of 5
A nurse assesses a client who has open lesions. Which action should the nurse take first?
Correct Answer: A
Rationale: Nurses should wear gloves as part of Standard Precautions when examining skin that is not intact. The other options should be completed after gloves are put on.
Question 4 of 5
A nurse cares for a client who is prescribed vancomycin (Vancocin) 500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which action should the nurse take?
Correct Answer: C
Rationale: Vancomycin is very irritating to veins and can cause thrombophlebitis, requiring frequent IV site assessment.
Question 5 of 5
An emergency room nurse assesses a client who was rescued from a home fire. The client suddenly develops a loud, brassy cough. Which action should the nurse take first?
Correct Answer: A
Rationale: A brassy cough indicates possible inhalation injury, requiring immediate oxygen and monitoring.