ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 4
The student nurse asks the nurse,"Which type of hearing loss involves damage to the cochlea or vestibulocochlear nerve?" Which statement is the best response of the nurse?
Correct Answer: D
Rationale: Sensorineural hearing loss involves damage to the cochlea or vestibulocochlear nerve, distinguishing it from conductive and other types of hearing loss.
Question 2 of 4
The nurse is assessing a client in an outpatient clinic. Which assessment data are a risk factor for developing pheochromocytoma?
Correct Answer: C
Rationale: Pheochromocytoma, an adrenal tumor, has a genetic link; family history of adrenal tumors is a key risk factor.
Question 3 of 4
The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 seconds, and QRS complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute. Which action should the nurse take?
Correct Answer: D
Rationale: This is a normal sinus rhythm (PR 0.12-0.20 s, QRS <0.12 s, rate 60-100); monitoring is sufficient.
Question 4 of 4
The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes which statement?
Correct Answer: D
Rationale: Notifying the HCP for a blood glucose level above 250 mg/dL is correct as it indicates a risk for DKA, requiring medical intervention. Stopping or decreasing insulin during illness can worsen hyperglycemia and lead to DKA.