ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
What intervention should the nurse implement for a client three hours post-op left AKA complaining of pain in the left foot?
Correct Answer: B
Rationale: Phantom limb pain requires prompt pain management.
Question 2 of 5
The client is postoperative open reduction and internal fixation (ORIF) of a fractured femoral neck. Which long-term goal should the nurse identify for the client?
Correct Answer: D
Rationale: Ambulation to the nurse's station is a specific, measurable long-term goal for functional recovery post-ORIF.
Question 3 of 5
A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the arm for extra support. The nurse responds knowing that which would most likely result from this improper crutch measurement?
Correct Answer: B
Rationale: Crutches resting under the armpits can compress the brachial plexus nerves, leading to nerve damage, numbness, or weakness in the arm. Proper crutch fit places weight on the hands, not the axilla.
Question 4 of 5
The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report?
Correct Answer: A
Rationale: Glaucoma typically causes gradual loss of peripheral vision due to increased intraocular pressure damaging the optic nerve.
Question 5 of 5
The client comes to the clinic and is diagnosed with otitis media. Which intervention should the clinic nurse include in the discharge teaching?
Correct Answer: C
Rationale: Abrupt pain relief may indicate tympanic membrane rupture, a complication of otitis media, requiring immediate medical attention.