ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 4
The nurse is conducting a Weber test on the client who is suspected of having conductive hearing loss in the left ear. Where should the nurse place the tuning fork when conducting this test?
Correct Answer: A
Rationale: The Weber test involves placing the tuning fork on the midline of the skull or forehead to assess for lateralization of sound.
Question 2 of 4
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
Correct Answer: A
Rationale: Elevated creatinine suggests renal damage, a complication of hyperparathyroidism from hypercalcemia.
Question 3 of 4
A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL and the serum creatinine level is 2.2 mg/dL. On the basis of these findings, the nurse would anticipate that the client is at risk for which problem?
Correct Answer: B
Rationale: Low urine output and elevated BUN/creatinine post-surgery suggest acute kidney injury.
Question 4 of 4
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety?
Correct Answer: B
Rationale: Conveying empathy, trust, and respect helps reduce anxiety by addressing the client's emotional needs effectively and safely, unlike sedation or ignoring the symptoms. Using medical terms may increase anxiety if the client is overwhelmed.