ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The nurse is caring for four clients on a medical-surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client's abnormalities?
Correct Answer: A
Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000-10,000 mm^3.) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician.
Question 2 of 5
A competent elderly client has a living will. The living will expressed the desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive. Which of the following actions by the nursing staff is most appropriate?
Correct Answer: C
Rationale: The client is competent, so their wishes take priority. The document should be placed on the chart and the physician notified. Family disagreement does not invalidate the document.
Question 3 of 5
A male client reports to the clinic with an open area on his penis. Which of the following questions will be most important to include in the data collection?
Correct Answer: D
Rationale: Recording the onset of the open area is crucial for diagnosis. Other questions are less informative or judgmental.
Question 4 of 5
A pregnant client reports to the clinic and learns she has tested positive for herpes simplex. The nurse develops a plan of care. Which of the following nursing diagnoses has the highest priority?
Correct Answer: A
Rationale: The greatest risk is complications from herpes simplex (e.g., neonatal transmission), making 'Injury, Risk for' the top priority.
Question 5 of 5
A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client's education?
Correct Answer: D
Rationale: The client should apply lotion immediately after bathing to retain moisture in the skin, which is more effective than other methods listed.