ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The nurse is admitting a client to rule out aldosteronism. Which assessment data support the client's diagnosis?
Correct Answer: D
Rationale: The correct answer is D (Blood pressure) because aldosteronism is a condition related to the overproduction of aldosterone hormone by the adrenal glands, leading to high blood pressure. Monitoring blood pressure can help identify hypertension, a key indicator of aldosteronism. Temperature (A), pulse (B), and respirations (C) are not directly related to aldosteronism diagnosis. Blood pressure is crucial as it reflects the effects of aldosterone on fluid and electrolyte balance. Monitoring blood pressure helps to assess the impact of aldosterone excess on the cardiovascular system, making it the most relevant assessment data for ruling out aldosteronism.
Question 2 of 5
The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem?
Correct Answer: B
Rationale: The correct answer is B: Inadequate fluid volume. Hyperglycemia can lead to dehydration due to osmotic diuresis. Addressing inadequate fluid volume is a priority to prevent further complications like electrolyte imbalances and hypotension. Lack of knowledge, compromised family coping, and inadequate consumption of nutrients are important but addressing fluid volume takes precedence to ensure the client's immediate physiological needs are met.
Question 3 of 5
A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago. What should the nurse do?
Correct Answer: A
Rationale: The correct answer is A: Assess frequently for herpes zoster. This is the correct action because the patient, having had chickenpox before, is at risk for developing herpes zoster (shingles) after exposure to varicella. Assessing frequently allows for early detection and intervention. Choice B is incorrect because immunity to chickenpox does not eliminate the risk of developing shingles. Choice C is incorrect as pneumonia vaccine is not directly related to the patient's current situation. Choice D is incorrect as gamma globulin is not indicated for this scenario.
Question 4 of 5
A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed nasal hairs. The nurse needs to assess this patient frequently for which condition?
Correct Answer: C
Rationale: The correct answer is C: Respiratory complications. Singed nasal hairs indicate inhalation injury, which can lead to respiratory complications such as airway swelling, pneumonia, or acute respiratory distress syndrome. Assessing the patient frequently is crucial to monitor for signs of respiratory distress and intervene promptly. Incorrect Choices: A: Decreased activity - Not directly related to singed nasal hairs or burns to the chest. B: Bradycardia - Singed nasal hairs are not typically associated with bradycardia. D: Hypertension - Singed nasal hairs do not directly indicate hypertension.
Question 5 of 5
The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Wash your face gently with mild soap. This is important because gentle cleansing helps remove excess oil and impurities without irritating the skin, which can worsen acne. It is essential to maintain a clean skin surface to prevent further breakouts. A: Avoid all chocolate - While diet may play a role in acne for some individuals, there is no conclusive evidence linking chocolate consumption to acne in all cases. C: Scrub your face with a soft brush - Scrubbing the face can irritate the skin and worsen acne by causing inflammation and spreading bacteria. D: Gently express clogged sebum from your pores - This can lead to further inflammation and scarring, and should be avoided as it can worsen acne.