ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
Which risk factor should the nurse discuss with the client concerning reasons for hearing loss?
Correct Answer: C
Rationale: The correct answer is C: Chronic exposure to loud noises. Prolonged exposure to loud noises can damage the sensitive structures in the inner ear leading to hearing loss. The nurse should discuss this risk factor with the client to raise awareness on the importance of protecting their hearing. Incorrect Choices: A: Multiple piercings in the auricle - Piercings do not directly cause hearing loss. B: Use of nephrotoxic medications - Nephrotoxic medications can damage the kidneys, not the ears. D: Taking oral antihistamines daily - Antihistamines are not known to cause hearing loss.
Question 2 of 5
The home health nurse is admitting a client diagnosed with cancer of the pancreas. Which information is the most important for the nurse to discuss with the client?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if there is an advance directive. This is important because it ensures that the client's wishes regarding their medical care are known and followed, especially in the case of a serious illness like pancreatic cancer. Discussing food preferences (A) and insurance/Medicare reimbursement (C) are important but not as critical initially. Instructing the client to eat as much as possible (D) may not be appropriate for a client with pancreatic cancer as they may have dietary restrictions.
Question 3 of 5
The nurse is admitting a client to rule out aldosteronism. Which assessment data support the client's diagnosis?
Correct Answer: D
Rationale: The correct answer is D (Blood pressure) because aldosteronism is a condition related to the overproduction of aldosterone hormone by the adrenal glands, leading to high blood pressure. Monitoring blood pressure can help identify hypertension, a key indicator of aldosteronism. Temperature (A), pulse (B), and respirations (C) are not directly related to aldosteronism diagnosis. Blood pressure is crucial as it reflects the effects of aldosterone on fluid and electrolyte balance. Monitoring blood pressure helps to assess the impact of aldosterone excess on the cardiovascular system, making it the most relevant assessment data for ruling out aldosteronism.
Question 4 of 5
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be most concerned about with this dysrhythmia?
Correct Answer: A
Rationale: The correct answer is A because ventricular tachycardia can deteriorate into ventricular fibrillation, a more life-threatening rhythm. Ventricular tachycardia is a precursor to ventricular fibrillation due to the rapid, disorganized electrical activity of the ventricles. This can lead to ineffective pumping of the heart, causing decreased cardiac output and potential cardiac arrest. Choices B, C, and D are incorrect because ventricular tachycardia can be converted to a normal rhythm with prompt intervention such as medications or electrical cardioversion. The sense of impending doom and discomfort described in choices C and D are more commonly associated with other dysrhythmias, such as atrial fibrillation or atrial flutter, rather than ventricular tachycardia.
Question 5 of 5
The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem?
Correct Answer: B
Rationale: The correct answer is B: Inadequate fluid volume. Hyperglycemia can lead to dehydration due to osmotic diuresis. Addressing inadequate fluid volume is a priority to prevent further complications like electrolyte imbalances and hypotension. Lack of knowledge, compromised family coping, and inadequate consumption of nutrients are important but addressing fluid volume takes precedence to ensure the client's immediate physiological needs are met.