ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse see initially?
Correct Answer: A
Rationale: The nurse must decide which client should be seen on the initial rounds of the day. The nurse must remember that the first client to be seen should be the client who needs the attention of the nurse initially. A client with hepatitis A does experience diarrhea, but diarrhea for the last 24 hours could cause the client to have a problem with dehydration and experience a state of fluid volume deficit.
Question 2 of 5
A client has reported to the physician's office with complaints of an inability to sleep at night. During the data collection, the client reports her estranged husband died a little over a year ago. She states 'I am not sure why this is so difficult, I really couldn't stand him near the end.' Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: Unresolved conflict at the time of death can impact the ability to grieve successfully. The client's demeanor does not seem angry, and referrals to a therapist require a physician's initiation.
Question 3 of 5
A client with a nursing diagnosis of Communication: Impaired, Verbal related to hearing deficit would expect which action in the plan of care?
Correct Answer: A
Rationale: Facing the client aids lip-reading, and alternative methods enhance communication. Loud high-pitched speech and repetitive wording can frustrate, while gestures aid understanding.
Question 4 of 5
A client recently treated for pelvic inflammatory disease asks how she can best prevent a recurrence of the disease. What information should be provided to the client?
Correct Answer: B
Rationale: Condoms provide a barrier against pathogens, reducing PID recurrence risk. Antibiotics, exams, and douching do not prevent recurrence effectively.
Question 5 of 5
A nurse plans care for a client who has a wound that is not healing. Which focused assessment should the nurse complete next to develop the client's plan of care?
Correct Answer: D
Rationale: Nutritional status can have a significant impact on wound healing. Prealbumin laboratory results provide information related to protein deficiencies, which are critical for wound healing.