ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
During a home care visit, the nurse notices the client's dressing supplies are not being kept in a readily assessable environment. The nurse has discussed this with the client and family in previous visits. What action by the nurse is indicated?
Correct Answer: A
Rationale: The nurse has attempted to address the concerns with the client and family. The client's failure to make changes indicates a lack of intent to change. Continued discussion is likely futile, and there's no need to notify the physician. Taking custody of supplies is not feasible.
Question 2 of 5
The nurse is obtaining a health history on a client complaining of recent-onset impotence. During the interview, which of the following questions will be most beneficial in identifying a potential cause of the manifestation?
Correct Answer: C
Rationale: A health history can reveal underlying causes of impotence (e.g., diabetes, hypertension). Open-ended questions about diseases provide the most insight.
Question 3 of 5
During a gynecological examination and testing, a female client is diagnosed with a Chlamydial infection. The client denies any symptoms of the disease, and asks when she contracted the disease. What information should be provided to the client?
Correct Answer: C
Rationale: Chlamydia can remain asymptomatic for months or years, making the duration of infection indefinite without symptoms.
Question 4 of 5
When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client's buttocks, heels, and scapulae. Which action should the nurse take next?
Correct Answer: C
Rationale: Bottoming out, as evidenced by deep imprints, indicates that this device is not appropriate, and a different device should be implemented to prevent pressure ulcer formation.
Question 5 of 5
A nurse plans care for a client who is immobile. Which intervention should the nurse include to prevent pressure sores?
Correct Answer: D
Rationale: Using a lift sheet decreases friction and shear, helping to prevent pressure sores.