ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client six (6) hours postoperative right total knee replacement. Which data should the nurse report to the surgeon?
Correct Answer: C
Rationale: Cool toes and pale nailbeds suggest possible circulatory compromise, warranting immediate reporting.
Question 2 of 5
The nurse is caring for a client being treated for fat embolus after multiple fractures. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolus?
Correct Answer: A
Rationale: Clear mentation indicates improved oxygenation to the brain, a key sign that the fat embolus, which can obstruct pulmonary circulation and cause neurological symptoms, is resolving.
Question 3 of 5
The client is postoperative retinal detachment surgery, and gas tamponade was used to flatten the retina. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Positioning as prescribed (often face-down or specific angles) is critical first to maintain the gas bubble's pressure on the retina, ensuring surgical success.
Question 4 of 5
Which recommendation should the nurse suggest to an elderly client who lives alone when discussing normal developmental changes of the olfactory organs?
Correct Answer: A
Rationale: Decreased olfactory function with aging impairs smoke detection; multiple smoke alarms enhance safety for an elderly client living alone.
Question 5 of 5
The nurse is assessing the client's sensory system. Which assessment data indicate an abnormal stereognosis test?
Correct Answer: D
Rationale: Stereognosis tests tactile recognition; inability to identify objects indicates sensory dysfunction.