ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
The 65-year-old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching?
Correct Answer: C
Rationale: Low-watt bulbs reduce visibility; macular degeneration patients need bright light to compensate for central vision loss, indicating a need for more teaching.
Question 2 of 5
Which statement by the daughter of an 80-year-old female client who lives alone warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Changing furniture can create fall hazards, especially for elderly individuals.
Question 3 of 5
The nurse manager of a medical-surgical unit is asked to determine if the unit should adopt a new care delivery system. Which behavior is an example of an autocratic style of leadership?
Correct Answer: A
Rationale: Autocratic leadership involves unilateral decision-making and informing staff without input.
Question 4 of 5
A client is admitted to the emergency department with chest pain that is consistent with myocardial infarction based on elevated troponin levels. Heart sounds are normal and vital signs are noted on the client's chart. The nurse should alert the health care provider because these changes are most consistent with which complication?
Correct Answer: A
Rationale: Progressive hypotension and tachycardia (BP 140/88 to 88/58, pulse 92 to 118) suggest cardiogenic shock post-MI.
Question 5 of 5
The nurse is caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client has an intravenous (IV) infusion at a rate of 150 mL/hour, unchanged for the last 10 hours. The client's urine output for the last 3 hours has been 90, 50, and 28 mL (28 mL is most recent). The client's blood urea nitrogen level is 35 mg/dL and the serum creatinine level is 1.8 mg / dL, measured this morning. Which nursing action is the priority?
Correct Answer: B
Rationale: Decreasing urine output and elevated BUN/creatinine suggest renal compromise, requiring HCP notification.