ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by the client indicates that the instructions are understood?
Correct Answer: D
Rationale: The correct answer is D because reporting fever or swelling post knee arthroscopy is crucial to prevent complications like infection or blood clots. This demonstrates understanding of the potential risks and the importance of prompt communication with the healthcare provider. Choice A is incorrect as immediate resumption of regular exercise after knee arthroscopy can lead to further injury. Choice B is incorrect as proper nutrition is important for recovery. Choice C is incorrect as some weight-bearing might be necessary as per physician's advice.
Question 2 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 3 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 4 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.
Question 5 of 5
Which client history is most significant in the development of symptoms for a client who has iatrogenic Cushing's disease?
Correct Answer: C
Rationale: The correct answer is C: History of long-term glucocorticoid use. Glucocorticoids are known to cause iatrogenic Cushing's disease. This choice directly correlates with the condition's development. Other choices like A (anabolic steroids) and B (inhaled steroids for asthma) are not typically associated with iatrogenic Cushing's. Choice D (family history of increased cortisol production) is not a direct cause of iatrogenic Cushing's, as it is not related to external factors like medication use.