ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse is assisting an 18-year-old female client to plan a healthy diet to support recent weight loss. Which of the following should be included in the dietary plan?
Correct Answer: A
Rationale: Grain intake should include at least six servings daily. To maintain a healthy weight and reduce incidence of cardiovascular disease, fat intake should not exceed 30 % of the daily intake. Folic acid intake should be at 400 mg daily, not 200 mg. Iron is a vital ingredient in the daily diet; 18 mg daily is reflective of the desired amount, and limiting it below 21 mg is unnecessary for constipation prevention, which is better managed by fluid and fiber intake.
Question 2 of 5
Following a severe corneal ulcer, the client had keratoplasty (corneal transplant). What nursing care should be included in the plan of care?
Correct Answer: A
Rationale: Eye-shields protect the transplant, avoiding pressure-increasing activities aids healing, reporting changes detects complications, and sterile technique prevents infection. Mydriatics are not used postoperatively as they increase pressure.
Question 3 of 5
A woman is scheduled to undergo a laparoscopic procedure. Which of the following statements by the client indicates the need for further education?
Correct Answer: D
Rationale: Shoulder pain is expected after laparoscopy due to injected air and does not typically signal a complication, indicating a need for further education.
Question 4 of 5
A nurse assesses a client who has open lesions. Which action should the nurse take first?
Correct Answer: A
Rationale: Nurses should wear gloves as part of Standard Precautions when examining skin that is not intact. The other options should be completed after gloves are put on.
Question 5 of 5
A nurse cares for a client who is prescribed vancomycin (Vancocin) 500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which action should the nurse take?
Correct Answer: C
Rationale: Vancomycin is very irritating to veins and can cause thrombophlebitis, requiring frequent IV site assessment.