ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
Which intervention should the nurse implement to help toughen the residual limb of a client with a right AKA?
Correct Answer: B
Rationale: Elastic bandages shape and toughen the residual limb, preparing it for prosthesis.
Question 2 of 5
The nurse is caring for a client in a hip spica cast. Which intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: Distention and vomiting can indicate cast syndrome or bowel obstruction, critical to monitor in a hip spica cast.
Question 3 of 5
The nurse has conducted teaching with a client in an arm cast about the signs and symptoms of compartment syndrome. The nurse determines that the client understands the information if the client states that he or she should report which early symptom of compartment syndrome?
Correct Answer: B
Rationale: Numbness and tingling are early signs of compartment syndrome due to nerve compression from increased pressure within the muscle compartment, requiring prompt reporting to prevent further damage.
Question 4 of 5
The 65-year-old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching?
Correct Answer: C
Rationale: Low-watt bulbs reduce visibility; macular degeneration patients need bright light to compensate for central vision loss, indicating a need for more teaching.
Question 5 of 5
The elderly male client tells the nurse, 'My wife says her cooking hasn't changed, but it is bland and tasteless.' Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Age-related taste bud decline reduces taste perception, a normal sensory change, making this the most appropriate and educational response.