ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
A client with a hip fracture asks the nurse about Buck's (extension) traction that is being applied before surgery and what is involved. The nurse should provide which information to the client?
Correct Answer: D
Rationale: Buck's traction uses weights, pulleys, and a boot to apply gentle traction, reducing muscle spasms and immobilizing the fracture for comfort and alignment before surgery, without invasive pins or screws.
Question 2 of 5
The nurse is conducting a Weber test on the client who is suspected of having conductive hearing loss in the left ear. Where should the nurse place the tuning fork when conducting this test?
Correct Answer: A
Rationale: The Weber test involves placing the tuning fork on the midline of the skull or forehead to assess for lateralization of sound.
Question 3 of 5
Which data indicate to the nurse the client who is one(1) day postoperative right total hip replacement is progressing as expected?
Correct Answer: D
Rationale: Clear lung sounds indicate adequate respiratory function without complications.
Question 4 of 5
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
Correct Answer: A
Rationale: Elevated creatinine suggests renal damage, a complication of hyperparathyroidism from hypercalcemia.
Question 5 of 5
A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL and the serum creatinine level is 2.2 mg/dL. On the basis of these findings, the nurse would anticipate that the client is at risk for which problem?
Correct Answer: B
Rationale: Low urine output and elevated BUN/creatinine post-surgery suggest acute kidney injury.