ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
Which sign/symptom should the nurse expect in a client with OA?
Correct Answer: B
Rationale: The correct answer is B: Joint stiffness. Osteoarthritis (OA) is characterized by joint stiffness, especially after periods of inactivity. This occurs due to the breakdown of cartilage in the joints. Severe bone deformity (A) is more commonly associated with conditions like rheumatoid arthritis. Waddling gait (C) is seen in conditions affecting the hip joint. Swan-neck fingers (D) are a characteristic sign of conditions like rheumatoid arthritis, not typically seen in OA. Therefore, joint stiffness is the most expected sign/symptom in a client with OA.
Question 2 of 5
The nurse is preparing the care plan for a client with a fractured lower extremity. Which outcome is most appropriate for the client?
Correct Answer: A
Rationale: The correct answer is A because maintaining function of the leg is a crucial outcome for a client with a fractured lower extremity. This outcome focuses on preserving mobility and independence, promoting healing and preventing complications. Ambulating with assistance (B) is a short-term goal, while turning every two hours (C) is related to preventing pressure ulcers. Having no infection (D) is important but not the primary goal for a fractured lower extremity. In summary, option A addresses the primary concern for the client's overall well-being and recovery.
Question 3 of 5
The school nurse is completing spinal screenings. Which data require a referral to an HCP?
Correct Answer: D
Rationale: The correct answer is D because having one arm lower than the other while bending over at the waist can indicate potential spinal curvature or scoliosis, requiring further evaluation by a healthcare professional. This asymmetry suggests a possible spinal abnormality that needs medical attention. A, B, and C are incorrect: A: Bilateral arm lengthening while bending over is a normal finding during spinal screenings. B: A deformity that resolves when the head is raised is likely a postural issue and does not necessarily indicate a spinal problem. C: Equal spacing of the arms and body at the waist is a normal finding and not indicative of spinal issues.
Question 4 of 5
The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears fractured. Which intervention should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Stay with the victim and encourage him or her to remain still. This is the correct intervention as it is important to prevent further injury and movement can exacerbate the fracture. By staying with the victim and encouraging stillness, the nurse can help minimize potential harm. A: Trying to reduce the fracture manually is not recommended as it can lead to further damage and should only be done by medical professionals. B: Assisting the victim to get up and walk can worsen the fracture and cause more harm. C: Leaving the victim alone to call an ambulance can leave the victim vulnerable and without immediate assistance.
Question 5 of 5
Which intervention is appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP) when caring for the female client experiencing acute pain?
Correct Answer: B
Rationale: The correct answer is B. Applying an ice pack is a non-invasive intervention that can help alleviate acute pain. It does not require specialized medical knowledge and can be safely delegated to the UAP. Here's the rationale: 1) Ice pack application is a basic skill that falls within the scope of practice for UAPs. 2) Ice packs can help reduce inflammation and numb the area, providing pain relief. 3) It is a simple and low-risk intervention that does not require clinical judgment. Choices A, C, and D involve handling medications and assessing pain management, which are beyond the UAP's scope of practice and require nursing expertise.