ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The client is postoperative open reduction and internal fixation (ORIF) of a fractured femoral neck. Which long-term goal should the nurse identify for the client?
Correct Answer: D
Rationale: Ambulation to the nurse's station is a specific, measurable long-term goal for functional recovery post-ORIF.
Question 2 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 3 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 4 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 5 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.