ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
The nurse is preparing the care plan for a client with a fractured lower extremity. Which outcome is most appropriate for the client?
Correct Answer: A
Rationale: The correct answer is A because maintaining function of the leg is a crucial outcome for a client with a fractured lower extremity. This outcome focuses on preserving mobility and independence, promoting healing and preventing complications. Ambulating with assistance (B) is a short-term goal, while turning every two hours (C) is related to preventing pressure ulcers. Having no infection (D) is important but not the primary goal for a fractured lower extremity. In summary, option A addresses the primary concern for the client's overall well-being and recovery.
Question 2 of 5
The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears fractured. Which intervention should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Stay with the victim and encourage him or her to remain still. This is the correct intervention as it is important to prevent further injury and movement can exacerbate the fracture. By staying with the victim and encouraging stillness, the nurse can help minimize potential harm. A: Trying to reduce the fracture manually is not recommended as it can lead to further damage and should only be done by medical professionals. B: Assisting the victim to get up and walk can worsen the fracture and cause more harm. C: Leaving the victim alone to call an ambulance can leave the victim vulnerable and without immediate assistance.
Question 3 of 5
Which intervention is appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP) when caring for the female client experiencing acute pain?
Correct Answer: B
Rationale: The correct answer is B. Applying an ice pack is a non-invasive intervention that can help alleviate acute pain. It does not require specialized medical knowledge and can be safely delegated to the UAP. Here's the rationale: 1) Ice pack application is a basic skill that falls within the scope of practice for UAPs. 2) Ice packs can help reduce inflammation and numb the area, providing pain relief. 3) It is a simple and low-risk intervention that does not require clinical judgment. Choices A, C, and D involve handling medications and assessing pain management, which are beyond the UAP's scope of practice and require nursing expertise.
Question 4 of 5
The client diagnosed with chronic otitis media is scheduled for a mastoidectomy. Which discharge teaching should the nurse discuss with the client?
Correct Answer: D
Rationale: The correct answer is D: Do not allow water to enter the ear for six (6) weeks. This instruction is essential post-mastoidectomy to prevent infection and promote healing. Water exposure can introduce bacteria, leading to complications. Option A is incorrect as the Valsalva maneuver should be avoided to prevent pressure changes in the ear. Option B is incorrect as hearing can improve after mastoidectomy. Option C is incorrect as ophthalmic drops are not indicated for ear care.
Question 5 of 5
The elderly client is complaining of abdominal discomfort. Which scientific rationale should the nurse remember when addressing an elderly client's perception of pain?
Correct Answer: C
Rationale: The correct answer is C because as people age, their reaction to painful stimuli may decrease due to changes in the nervous system. This is important for nurses to consider when assessing and managing pain in elderly clients. Choice A is incorrect as elderly clients may have different pain perceptions compared to other age groups. Choice B is incorrect as not all elderly clients require more pain medication. Choice D is incorrect as the Wong scale is not specifically recommended for elderly clients.