ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The client is postoperative retinal detachment surgery, and gas tamponade was used to flatten the retina. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Positioning as prescribed (often face-down or specific angles) is critical first to maintain the gas bubble's pressure on the retina, ensuring surgical success.
Question 2 of 5
The nurse is assessing the client's sensory system. Which assessment data indicate an abnormal stereognosis test?
Correct Answer: D
Rationale: Stereognosis tests tactile recognition; inability to identify objects indicates sensory dysfunction.
Question 3 of 5
The client diagnosed with Cushing's disease has developed 1+ peripheral edema. The client has received intravenous fluids at 100 mL/hr via IV pump for the past 79 hours. The client received IVPB medication in 50 mL of fluid every 6 hours for 15 doses. How many mL of fluid did the client receive?
Correct Answer: A
Rationale: Total IV fluid = (100 mL/hr × 79 hr) + (50 mL × 15 doses) = 7,900 + 750 = 8,650 mL.
Question 4 of 5
Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison's disease?
Correct Answer: B
Rationale: Stress or infection increases cortisol demand; dose adjustment prevents adrenal crisis.
Question 5 of 5
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac tamponade. Which observation would indicate that the procedure was effective?
Correct Answer: B
Rationale: Relieving tamponade improves cardiac output, raising BP.