ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
Which intervention should the nurse implement for a client with a fractured hip in Buck's traction?
Correct Answer: C
Rationale: Checking skin condition prevents pressure ulcers, a common complication in Buck's traction.
Question 2 of 5
The client is postoperative retinal detachment surgery, and gas tamponade was used to flatten the retina. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Positioning as prescribed (often face-down or specific angles) is critical first to maintain the gas bubble's pressure on the retina, ensuring surgical success.
Question 3 of 5
Which recommendation should the nurse suggest to an elderly client who lives alone when discussing normal developmental changes of the olfactory organs?
Correct Answer: A
Rationale: Decreased olfactory function with aging impairs smoke detection; multiple smoke alarms enhance safety for an elderly client living alone.
Question 4 of 5
The nurse is assessing the client's sensory system. Which assessment data indicate an abnormal stereognosis test?
Correct Answer: D
Rationale: Stereognosis tests tactile recognition; inability to identify objects indicates sensory dysfunction.
Question 5 of 5
The client diagnosed with Cushing's disease has developed 1+ peripheral edema. The client has received intravenous fluids at 100 mL/hr via IV pump for the past 79 hours. The client received IVPB medication in 50 mL of fluid every 6 hours for 15 doses. How many mL of fluid did the client receive?
Correct Answer: A
Rationale: Total IV fluid = (100 mL/hr × 79 hr) + (50 mL × 15 doses) = 7,900 + 750 = 8,650 mL.