ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report?
Correct Answer: A
Rationale: Glaucoma typically causes gradual loss of peripheral vision due to increased intraocular pressure damaging the optic nerve.
Question 2 of 5
Which behavior by the male client should make the nurse suspect the client has a hearing loss? Select all that apply.
Correct Answer: B
Rationale: Irritability and ignoring others are common behaviors associated with hearing loss.
Question 3 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 4 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 5 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.