ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The client is scheduled for ear surgery. Which statement indicates the client needs more preoperative teaching concerning the surgery?
Correct Answer: D
Rationale: Shampooing the day after ear surgery risks water entering the ear, potentially causing infection or disrupting healing, indicating a need for more teaching.
Question 2 of 5
The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Dehydration from heat exposure exacerbates Addison's, requiring rapid IV fluid resuscitation.
Question 3 of 5
Which question should the nurse ask when assessing the client for an endocrine dysfunction?
Correct Answer: B
Rationale: Unexplained weight loss can indicate endocrine disorders like hyperthyroidism or diabetes.
Question 4 of 5
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. How should the nurse correctly interpret the client's neurovascular status?
Correct Answer: A
Rationale: Warmth, redness, and edema with a palpable pulse suggest normal post-surgical increased blood flow.
Question 5 of 5
The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated with NPH and regular insulin. Which manifestation would alert the nurse to the presence of a possible hypoglycemic reaction?
Correct Answer: A
Rationale: Tremors are a common sign of hypoglycemia due to neuroglycopenia and sympathetic activation, unlike hot, dry skin, which is more typical of hyperglycemia or ketoacidosis.