ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The client comes to the clinic and is diagnosed with otitis media. Which intervention should the clinic nurse include in the discharge teaching?
Correct Answer: C
Rationale: Abrupt pain relief may indicate tympanic membrane rupture, a complication of otitis media, requiring immediate medical attention.
Question 2 of 5
The nurse writes a problem of 'altered body image' for a 34-year-old client diagnosed with Cushing's disease. Which intervention should be implemented?
Correct Answer: C
Rationale: Altered body image in Cushing's (e.g., moon face, buffalo hump) requires addressing emotional impact through communication.
Question 3 of 5
The nurse is discussing the endocrine system with the client. Which endocrine gland secretes epinephrine and norepinephrine?
Correct Answer: C
Rationale: The adrenal medulla secretes catecholamines (epinephrine and norepinephrine).
Question 4 of 5
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is 0.14 seconds, the QRS complexes measure 0.08 seconds, and the PP and RR intervals are regular. How should the nurse correctly interpret this rhythm?
Correct Answer: A
Rationale: Rate >100 with normal PR (0.12-0.20 s) and QRS (<0.12 s) indicates sinus tachycardia.
Question 5 of 5
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which finding will the interprofessional health care team focus on?
Correct Answer: A
Rationale: Addisonian crisis (acute adrenal insufficiency) causes hypotension due to lack of cortisol and aldosterone, leading to shock, making it a primary focus for the team.