ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder?
Correct Answer: D
Rationale: The correct answer is D. Osteoporosis is more common in older individuals, especially postmenopausal women due to decreased estrogen levels. Smoking can lead to decreased bone density. Sedentary lifestyle also contributes to bone loss. Therefore, a sedentary 65-year-old woman who smokes cigarettes is at the highest risk. A: A 25-year-old woman who runs - Running is actually beneficial for bone health, so this individual is not at the greatest risk. B: A 36-year-old man who has asthma - Asthma does not directly increase the risk of osteoporosis compared to the other factors mentioned. C: A 70-year-old man who consumes excess alcohol - While excessive alcohol consumption can impact bone health, it is not as strong a risk factor as smoking and sedentary lifestyle.
Question 2 of 5
Which risk factor should the nurse discuss with the client concerning reasons for hearing loss?
Correct Answer: C
Rationale: The correct answer is C: Chronic exposure to loud noises. Prolonged exposure to loud noises can damage the sensitive structures in the inner ear leading to hearing loss. The nurse should discuss this risk factor with the client to raise awareness on the importance of protecting their hearing. Incorrect Choices: A: Multiple piercings in the auricle - Piercings do not directly cause hearing loss. B: Use of nephrotoxic medications - Nephrotoxic medications can damage the kidneys, not the ears. D: Taking oral antihistamines daily - Antihistamines are not known to cause hearing loss.
Question 3 of 5
The nurse writes the diagnosis"risk for injury related to impaired balance" for the client diagnosed with vertigo. Which nursing intervention should be included in the plan of care?
Correct Answer: C
Rationale: The correct answer is C because assessing for visual acuity and proprioceptive deficits is essential in managing a client with vertigo to identify potential factors contributing to impaired balance. Visual acuity helps determine if vision issues are exacerbating vertigo symptoms, while proprioceptive deficits affect body awareness and balance. By assessing these factors, the nurse can tailor interventions to address specific needs, such as recommending corrective measures for vision problems or implementing balance exercises. A: Providing information about vertigo is important but does not directly address the specific issue of assessing visual acuity and proprioceptive deficits. B: Assessing for diversional activities is important for overall client well-being but does not directly address the balance issues related to vertigo. D: Referring the client to a support group and counseling may be beneficial for emotional support but does not directly address the physical factors contributing to impaired balance.
Question 4 of 5
The home health nurse is admitting a client diagnosed with cancer of the pancreas. Which information is the most important for the nurse to discuss with the client?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if there is an advance directive. This is important because it ensures that the client's wishes regarding their medical care are known and followed, especially in the case of a serious illness like pancreatic cancer. Discussing food preferences (A) and insurance/Medicare reimbursement (C) are important but not as critical initially. Instructing the client to eat as much as possible (D) may not be appropriate for a client with pancreatic cancer as they may have dietary restrictions.
Question 5 of 5
The nurse is admitting a client to rule out aldosteronism. Which assessment data support the client's diagnosis?
Correct Answer: D
Rationale: The correct answer is D (Blood pressure) because aldosteronism is a condition related to the overproduction of aldosterone hormone by the adrenal glands, leading to high blood pressure. Monitoring blood pressure can help identify hypertension, a key indicator of aldosteronism. Temperature (A), pulse (B), and respirations (C) are not directly related to aldosteronism diagnosis. Blood pressure is crucial as it reflects the effects of aldosterone on fluid and electrolyte balance. Monitoring blood pressure helps to assess the impact of aldosterone excess on the cardiovascular system, making it the most relevant assessment data for ruling out aldosteronism.