ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
Which of the following are signs of a tension pneumothorax?
Correct Answer: A
Rationale: Dyspnea is a sign of tension pneumothorax.
Question 2 of 5
The hospice nurse is working with the family of a 30-year-old client who is dying. The client voices concerns about how her death will be perceived by her 7-year-old child. What advice from the nurse would be most beneficial?
Correct Answer: B
Rationale: Children at age 7 understand the finality of death. This knowledge can help the client address her child's perception appropriately.
Question 3 of 5
A client with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting would have which nursing diagnosis as a first priority?
Correct Answer: B
Rationale: Symptoms of Meniere's disease indicate a high risk for falls due to imbalance, making 'Trauma, Risk for' the top priority for safety.
Question 4 of 5
A client recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should be given to the client?
Correct Answer: D
Rationale: Lesions should be kept clean and dry with gentle soap and water. Alcohol burns, and nylon retains moisture, worsening discomfort.
Question 5 of 5
Which finding requires immediate referral when a nurse assesses an older adult's skin?
Correct Answer: B
Rationale: The lesion with various colors fits one of the American Cancer Society hallmark signs for cancer according to the ABCD method (color variation). This requires immediate referral.