ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
Which assessment technique should the nurse implement when assessing the client's cranial nerves for vibration?
Correct Answer: B
Rationale: Placing a tuning fork on the big toe tests vibration sense (via cranial nerve VIII and peripheral nerves), a standard neurological assessment technique.
Question 2 of 5
The client diagnosed with a pituitary tumor developed syndrome of inappropriate antidiuretic hormone (SIADH). Which intervention should the nurse implement?
Correct Answer: B
Rationale: SIADH causes water retention; daily weights and nausea/vomiting assessment monitor fluid overload.
Question 3 of 5
A client in sinus bradycardia, with a heart rate of 45 beats/minute, complains of dizziness and has a blood pressure of 82/60 mm Hg. Which prescription should the nurse anticipate will be prescribed?
Correct Answer: D
Rationale: Symptomatic bradycardia (dizziness, hypotension) requires pacing to increase heart rate.
Question 4 of 5
A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription?
Correct Answer: C
Rationale: The primary goal of treatment in hyperosmolar hyperglycemic syndrome (HHS) is to rehydrate the client to restore fluid volume and to correct electrolyte deficiency. Intravenous (IV) fluid replacement is similar to that administered in diabetic ketoacidosis (DKA) and begins with IV infusion of normal saline. Regular insulin, not NPH insulin, would be administered. The use of sodium bicarbonate to correct acidosis is avoided because it can precipitate a further drop in serum potassium levels. Intubation and mechanical ventilation are not required to treat HHS.
Question 5 of 5
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which sign or symptom is associated with this diagnosis?
Correct Answer: C
Rationale: Feeling cold is a classic symptom of hypothyroidism due to decreased metabolic rate, unlike tremors and weight loss, which are more typical of hyperthyroidism.