ATI LPN
NCLEX Style Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is caring for a client with a left fractured humerus. Which data warrant intervention by the nurse?
Correct Answer: C
Rationale: Edema and purple discoloration indicate potential compartment syndrome, requiring urgent intervention.
Question 2 of 5
The nurse is administering eyedrops to the client. Which guideline should the nurse adhere to when instilling the drops into the eye?
Correct Answer: C
Rationale: The original multiple-answer question is restructured. Holding the lower lid down and instilling drops into the conjunctiva (from option 4) avoids corneal irritation and ensures proper absorption.
Question 3 of 5
Which situation makes the nurse suspect the client has glaucoma?
Correct Answer: A
Rationale: Glaucoma causes peripheral vision loss, which could prevent seeing a car in the next lane, leading to an accident, aligning with its typical presentation.
Question 4 of 5
The PACU nurse administers Narcan, an opioid antagonist, to a postoperative client. Which client problem should the nurse include to the plan of care based on this medication?
Correct Answer: B
Rationale: Narcan reverses opioid-induced respiratory depression, highlighting the risk for respiratory complications.
Question 5 of 5
Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus?
Correct Answer: A
Rationale: Diabetes insipidus causes dilute urine and hypernatremia; serum sodium monitoring is key.