ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 4
Which behavior by the male client should make the nurse suspect the client has a hearing loss? Select all that apply.
Correct Answer: B
Rationale: Irritability and ignoring others are common behaviors associated with hearing loss.
Question 2 of 4
The nurse is discussing the endocrine system with the client. Which endocrine gland secretes epinephrine and norepinephrine?
Correct Answer: C
Rationale: The adrenal medulla secretes catecholamines (epinephrine and norepinephrine).
Question 3 of 4
A client's electrocardiogram strip shows atrial and ventricular rates of 110 beats/minute. The PR interval is 0.14 seconds, the QRS complexes measure 0.08 seconds, and the PP and RR intervals are regular. How should the nurse correctly interpret this rhythm?
Correct Answer: A
Rationale: Rate >100 with normal PR (0.12-0.20 s) and QRS (<0.12 s) indicates sinus tachycardia.
Question 4 of 4
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which finding will the interprofessional health care team focus on?
Correct Answer: A
Rationale: Addisonian crisis (acute adrenal insufficiency) causes hypotension due to lack of cortisol and aldosterone, leading to shock, making it a primary focus for the team.