ATI LPN
Fundamentals Wound Care and Skin Integrity Questions Questions
Question 1 of 5
Which psychosocial problem should the nurse identify for a client with an external fixator device?
Correct Answer: B
Rationale: An external fixator can significantly alter body image due to its visible and invasive nature.
Question 2 of 5
The employee health nurse is teaching a class on 'Preventing Eye Injury.' Which information should be discussed in the class?
Correct Answer: A
Rationale: Reading instructions ensures proper use of tools and chemicals, a fundamental step in preventing eye injuries across various scenarios.
Question 3 of 5
Which assessment technique should the nurse implement when assessing the client's cranial nerves for vibration?
Correct Answer: B
Rationale: Placing a tuning fork on the big toe tests vibration sense (via cranial nerve VIII and peripheral nerves), a standard neurological assessment technique.
Question 4 of 5
The male client diagnosed with type 2 diabetes mellitus tells the nurse he has begun to see yellow spots. Which interventions should the nurse implement? List in order of priority.
Correct Answer: A
Rationale: Yellow spots may indicate retinopathy, requiring immediate medical evaluation.
Question 5 of 5
The client diagnosed with a pituitary tumor developed syndrome of inappropriate antidiuretic hormone (SIADH). Which intervention should the nurse implement?
Correct Answer: B
Rationale: SIADH causes water retention; daily weights and nausea/vomiting assessment monitor fluid overload.