ATI LPN
Skin Integrity Practice Questions Questions
Question 1 of 5
What data should the nurse report to the HCP immediately for a client with a fractured left tibia and fibula?
Correct Answer: C
Rationale: Absent pulse and increasing pain suggest acute compartment syndrome needing urgent intervention.
Question 2 of 5
The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?
Correct Answer: B
Rationale: Assessing pain level first addresses the chief complaint and guides subsequent care planning.
Question 3 of 5
A client with a hip fracture asks the nurse about Buck's (extension) traction that is being applied before surgery and what is involved. The nurse should provide which information to the client?
Correct Answer: D
Rationale: Buck's traction uses weights, pulleys, and a boot to apply gentle traction, reducing muscle spasms and immobilizing the fracture for comfort and alignment before surgery, without invasive pins or screws.
Question 4 of 5
The client diagnosed with glaucoma is prescribed a miotic cholinergic medication. Which data indicate the medication has been effective?
Correct Answer: B
Rationale: Miotic cholinergics (e.g., pilocarpine) reduce intraocular pressure by constricting the pupil and opening drainage channels, the primary goal in glaucoma management.
Question 5 of 5
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.