ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
When lifting a client up in bed, the nurse feels a pulling in the back. What should be the first action?
Correct Answer: C
Rationale: The correct answer is C: Inform the charge nurse and document occurrence. This is the first action because it is essential to report any work-related injuries promptly for documentation and potential follow-up care. Continuing to work (A) could worsen the injury. Going to the emergency department (B) may not be necessary if the injury is not severe. Seeing a private health-care provider on off time (D) may delay necessary documentation and follow-up within the workplace.
Question 2 of 5
The nurse is providing discharge teaching to the 12-year-old with a fractured humerus and the parents. Which information should the nurse include regarding cast care?
Correct Answer: A
Rationale: The correct answer is A: Keep the fractured arm at heart level. This positioning helps reduce swelling and promote circulation, aiding in the healing process. Keeping the arm elevated can also help alleviate pain and discomfort. Choice B is incorrect because using a wire hanger to scratch inside the cast can lead to injury and complications. Choice C is incorrect because applying an ice pack to an itching area can cause skin damage and should be avoided. Choice D is incorrect because foul smells are not expected occurrences with cast care; any foul odor should be reported to the healthcare provider as it may indicate an infection.
Question 3 of 5
Which priority intervention should the day surgery nurse implement for a client who has had right knee arthroscopy?
Correct Answer: C
Rationale: The correct answer is C: Check the client's pulses distally and assess the toes. This is the priority intervention because it assesses neurovascular status post-arthroscopy, detecting any potential complications like impaired circulation. Checking pulses and toe assessment are crucial to prevent ischemia and ensure proper blood flow to the extremity. Encouraging range-of-motion exercises (A) is important but not the priority immediately post-surgery. Monitoring urine output and color (B) is important for hydration status but not as critical as neurovascular assessment. Monitoring vital signs (D) is also important but does not specifically address the risk of impaired circulation post-arthroscopy.
Question 4 of 5
The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder?
Correct Answer: D
Rationale: The correct answer is D. Osteoporosis is more common in older individuals, especially postmenopausal women due to decreased estrogen levels. Smoking can lead to decreased bone density. Sedentary lifestyle also contributes to bone loss. Therefore, a sedentary 65-year-old woman who smokes cigarettes is at the highest risk. A: A 25-year-old woman who runs - Running is actually beneficial for bone health, so this individual is not at the greatest risk. B: A 36-year-old man who has asthma - Asthma does not directly increase the risk of osteoporosis compared to the other factors mentioned. C: A 70-year-old man who consumes excess alcohol - While excessive alcohol consumption can impact bone health, it is not as strong a risk factor as smoking and sedentary lifestyle.
Question 5 of 5
Which statement should the nurse identify as the expected outcome for a client experiencing acute pain?
Correct Answer: B
Rationale: The correct answer is B because participation in self-care activities indicates effective pain management and adaptation to pain. Engaging in self-care activities suggests that the client is able to maintain independence despite the pain, which is a positive outcome. Choices A, C, and D are incorrect. A decrease in medication use may not always be appropriate for acute pain management. Relaxation techniques can help manage pain but may not be the primary expected outcome. Repeating instructions about medications does not directly relate to the expected outcome of managing acute pain.