ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The 65-year-old male client who is complaining of blurred vision reports he thinks his glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye disorder should the nurse suspect the client has?
Correct Answer: D
Rationale: Blurred vision and a sensation of dirty glasses without pain are classic cataract symptoms, common in older adults due to lens clouding.
Question 2 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 3 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 4 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.
Question 5 of 5
An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump?
Correct Answer: D
Rationale: An insulin pump provides a small continuous dose of short-duration (rapid- or short-acting) insulin subcutaneously throughout the day and night. The client can self-administer an additional bolus dose from the pump before each meal as needed. Short-duration insulin is used in an insulin pump. An external pump is not attached surgically to the pancreas.