ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The client is prescribed Fosamax, a bisphosphonate. Which information should the nurse teach?
Correct Answer: A
Rationale: Rationale: A is correct because bisphosphonates like Fosamax should be taken with a full glass of water on an empty stomach to maximize absorption. Water helps prevent esophageal irritation. B is incorrect because it should be taken on an empty stomach. C is incorrect because sensitivity to sunlight is not a common side effect of Fosamax. D is incorrect because bisphosphonates do not directly increase calcium reabsorption.
Question 2 of 5
Which nursing intervention is the highest priority when administering pain medication to a client experiencing acute pain?
Correct Answer: C
Rationale: The correct answer is C: Check for the client's allergies. This is the highest priority because knowing the client's allergies helps prevent potential adverse reactions when administering pain medication. Monitoring vital signs (A) is important but comes after checking for allergies. Verifying the time of the last dose (B) is essential for dose timing but not the highest priority. Discussing pain with the client (D) is important for assessment but not as critical as ensuring safety by checking for allergies.
Question 3 of 5
The nurse is caring for a client diagnosed with acute otitis media. Which sign/symptom supports this medical diagnosis?
Correct Answer: A
Rationale: Rationale: A: Unilateral pain in the ear is indicative of acute otitis media due to inflammation of the middle ear. B: Green, foul-smelling drainage is more common in chronic otitis media or ear infections, not acute. C: Sensation of congestion in the ears is vague and can be seen in various ear conditions. D: Reports of hearing loss are more common in chronic otitis media or severe cases, not acute. Therefore, the correct answer is A as it aligns with the typical presentation of acute otitis media.
Question 4 of 5
The nurse is assessing the client's cranial nerves. Which assessment data indicate cranial nerve I is intact?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Cranial nerve I is the olfactory nerve responsible for the sense of smell. 2. Assessing the client's ability to identify a peppermint smell tests the olfactory nerve. 3. If the client can identify the smell, it indicates cranial nerve I is intact. Summary: A: Assessing cold and hot sensation on the face tests cranial nerve V (trigeminal nerve). B: Tongue tremor is not related to cranial nerve I, but to cranial nerve XII (hypoglossal nerve). C: Ptosis of the eyelids is related to cranial nerve III (oculomotor nerve), not cranial nerve I.
Question 5 of 5
The nurse caring for a client diagnosed with cancer of the pancreas writes the nursing diagnosis of 'risk for altered skin integrity related to pruritus.' Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Have the client keep the fingernails short. Pancreatic cancer can cause pruritus (itching), and keeping fingernails short can prevent skin damage from scratching. Assessing tissue turgor (A) is unrelated to pruritus. Applying antifungal creams (B) is not indicated unless there is a fungal infection. Monitoring bony prominences for breakdown (C) is more relevant to preventing pressure ulcers. Keeping fingernails short helps prevent skin damage and is the most appropriate intervention for addressing pruritus in this case.