ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
A client is complaining of low back pain that radiates down the left posterior thigh. The nurse should ask the client if the pain is worsened or aggravated by which factor?
Correct Answer: C
Rationale: Bending or lifting can exacerbate low back pain radiating down the leg, often indicative of sciatica or a herniated disc, as these activities increase pressure on the affected nerve roots.
Question 2 of 5
Which intervention should the nurse include when conducting an in-service on caring for elderly clients addressing normal developmental sensory changes?
Correct Answer: A
Rationale: Open curtains increase light, aiding vision in elderly clients with age-related visual decline, such as presbyopia or cataracts.
Question 3 of 5
Which assessment data indicate the postoperative client who had spinal anesthesia is suffering a complication of the anesthesia?
Correct Answer: C
Rationale: Respiratory depression is a serious complication of spinal anesthesia requiring prompt intervention.
Question 4 of 5
The nurse is admitting a client to the neurological intensive care unit who is postoperative transsphenoidal hypophysectomy. Which data warrant immediate intervention?
Correct Answer: B
Rationale: High output vs. low intake suggests diabetes insipidus, a common post-hypophysectomy complication requiring immediate fluid replacement.
Question 5 of 5
The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles and the nurse suspects pulmonary edema. Which intervention is the priority?
Correct Answer: A
Rationale: Oxygen is the priority in pulmonary edema to correct hypoxemia. Originally multi-select, restructured to single-answer focusing on the most immediate need.