ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
Which interventions should the nurse implement for a client with an open fracture of the left ankle?
Correct Answer: B
Rationale: Ice reduces swelling effectively without risking neurovascular compromise.
Question 2 of 5
The client with a long arm cast is complaining of unrelenting severe pain and feeling as if the fingers are asleep. Which complication should the nurse suspect the client is experiencing?
Correct Answer: B
Rationale: Severe pain and numbness in a casted extremity suggest compartment syndrome, a medical emergency.
Question 3 of 5
The nurse is caring for a client with a diagnosis of gout. Which laboratory value would the nurse expect to note in the client?
Correct Answer: B
Rationale: Gout is caused by hyperuricemia; a uric acid level of 9.0 mg/dL is elevated (normal range is 3.5-7.2 mg/dL for men, slightly lower for women), consistent with the diagnosis.
Question 4 of 5
The client has had an enucleation of the left eye. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Referral for an ocular prosthesis addresses cosmetic and psychological needs post-enucleation, a standard intervention.
Question 5 of 5
The client with a retinal detachment has just undergone a gas tamponade repair. Which discharge instruction should the nurse include in the teaching?
Correct Answer: A
Rationale: Face-down positioning post-gas tamponade keeps the gas bubble against the retina, critical for reattachment and healing.