ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
During a routine physical examination for a 52-year-old Caucasian male, the client declines to have his prostate gland examined. He states he does not have a family history and does not feel he is at risk. What initial response by the nurse is most appropriate?
Correct Answer: C
Rationale: The need for prostate screening begins at age 50. Individuals with risk factors should begin screening at age 45. The client's age places him at an increased risk, so he should begin the screening process. While the client may refuse any testing, this does not allow the client to engage in secondary levels of prevention. The client's refusal should be recorded but not used as coercion.
Question 2 of 5
Before teaching about home management for clients with open-angled glaucoma, which order would be questioned by the nurse?
Correct Answer: A
Rationale: Timolol is contraindicated in CHF due to systemic beta-blocker effects that can worsen heart failure. The other medications are appropriate for their respective clients.
Question 3 of 5
A 13-year-old female reports to the school nurse with concerns about her menstrual cycle. The client states that she has not yet started her period, and asks if this is normal. Which of the following should be included in the nurse's response?
Correct Answer: C
Rationale: The average age of menarche is 12.8 years; not starting by 13 is not abnormal and does not yet warrant referral or testing.
Question 4 of 5
A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively coping with the disorder?
Correct Answer: A
Rationale: The nurse should complete a psychosocial assessment to determine if the client is coping effectively. Signs of adequate coping include clean hair, skin, and nails; good eye contact; and being socially active.
Question 5 of 5
A nurse assesses a young female client who is prescribed isotretinoin (Accutane). Which question should the nurse ask prior to starting this therapy?
Correct Answer: C
Rationale: Isotretinoin is a known teratogen, requiring a pregnancy test and strict birth control measures.