ATI LPN
Integumentary System Exam Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client is having frequent premature ventricular contractions. The nurse should place priority on assessment of which item?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure and oxygen saturation. Assessing blood pressure and oxygen saturation is crucial in a client experiencing frequent premature ventricular contractions to monitor for signs of hemodynamic instability and hypoxia. This assessment helps determine the client's cardiovascular status and oxygenation levels, which are essential in managing and preventing complications associated with arrhythmias. Sensation of palpitations (A) is important, but assessing vital signs takes precedence. Causative factors like caffeine (B) and precipitating factors such as infection (D) are relevant but should be addressed after ensuring the client's immediate physiological needs are met.
Question 5 of 5
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A: "I need to stop my insulin." This statement indicates a need for further teaching because in cases of vomiting, diarrhea, and fasting, insulin may still be necessary to prevent hyperglycemia. Stopping insulin could lead to dangerously high blood sugar levels. Increasing fluid intake (B), monitoring blood glucose levels (C), and contacting the healthcare provider (D) are all appropriate responses to the client's symptoms and are not indicative of a need for further teaching.