ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
The nurse is orienting a new graduate. The nurse is reinforcing the importance of standard precautions. Which of the following observations by the nurse would require further education regarding standard precautions?
Correct Answer: B
Rationale: The nurse must have an understanding of standard precautions. Prevention is the most important measure to prevent nosocomial infections. Standard precautions were published in 1996 that provide guidelines for the handling of blood and other body fluids. These guidelines are used with all clients, regardless of whether they have a known infectious disease. It is not necessary for the nurse to wear gloves while delivering food trays to the client, because there is no contact with the client.
Question 2 of 5
At the time of admission, the client is asked if he has a healthcare directive. The client reports that his daughter will be allowed to make health-related decisions if he becomes incapacitated. Based upon your knowledge, the client has a/n:
Correct Answer: B
Rationale: A healthcare surrogate is an individual designated to make medical decisions if the client becomes unable to do so. A living will provides written directions about life-prolonging decisions.
Question 3 of 5
While providing care to the parents of a baby boy who has the chromosomal makeup of XXY, which of the following should be included in the teaching plan?
Correct Answer: D
Rationale: XXY (Klinefelter syndrome) may alter secondary sexual characteristics due to genetic mutations. Enlarged genitals, cancer risk, and sterility are not consistently supported.
Question 4 of 5
A client has been diagnosed with latent syphilis. During the counseling session, the client asks about transmitting the disease to his spouse. What information should be provided to the client?
Correct Answer: D
Rationale: In latent syphilis, transmission occurs via blood contact, not sexual contact, distinguishing it from earlier stages.
Question 5 of 5
A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for pressure ulcer development?
Correct Answer: C
Rationale: Being immobile and incontinent are two significant risk factors for the development of pressure ulcers, making the 65-year-old at highest risk.