ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Which situation is an example of the nurse fulfilling the role of client advocate?
Correct Answer: C
Rationale: The correct answer is C because contacting the healthcare provider when pain relief is not obtained demonstrates advocacy for the client's well-being. The nurse is advocating for the client's right to adequate pain management. Bringing pain medication when due (A) is part of standard nursing care, not necessarily advocacy. Collaborating with other disciplines (B) is important for holistic care but doesn't directly relate to advocating for the client. Teaching the client to ask for medication (D) is empowering but not necessarily advocating for the client in this context.
Question 2 of 5
The female client tells the clinic nurse she is going on a seven(7)-day cruise and is worried about getting motion sickness. Which information should the nurse discuss with the client?
Correct Answer: B
Rationale: The correct answer is B because recommending an over-the-counter scopolamine patch is an appropriate intervention for preventing motion sickness during a cruise. Scopolamine is a common medication used to alleviate symptoms of motion sickness by affecting the vestibular system. It is often recommended for individuals going on cruises or experiencing other forms of motion sickness. Choice A is incorrect because making an appointment with the healthcare provider may not be necessary for a common issue like motion sickness and could delay the client's access to immediate relief. Choice C is incorrect as discouraging the client from taking the trip does not address the client's concern about motion sickness and is not a practical solution. Choice D is incorrect as instructing the client to lie down does not address motion sickness and may not be effective in preventing or alleviating symptoms.
Question 3 of 5
The client admitted to rule out pancreatic islet tumors complains of feeling weak, shaky, and sweaty. Which priority intervention should be implemented by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Perform a bedside glucose check. This is the priority intervention as the client's symptoms suggest hypoglycemia, common in pancreatic islet tumors. Checking glucose levels will confirm this and guide appropriate treatment. Starting an IV with D5W (A) may be needed for severe cases, but confirming hypoglycemia is crucial first. Notifying the health-care provider (B) may delay immediate action. Giving orange juice (D) may help raise blood sugar, but confirming hypoglycemia is necessary before providing any treatment.
Question 4 of 5
Which psychosocial problem should be included in the plan of care for a female client diagnosed with Cushing's syndrome?
Correct Answer: B
Rationale: The correct answer is B: Body image disturbance. This is crucial for a female client with Cushing's syndrome due to physical changes like weight gain, facial fullness, and stretch marks. Addressing body image issues can improve self-esteem and overall well-being. A: Altered glucose metabolism is a physiological concern, not a psychosocial one. C: Risk for suicide is not directly associated with Cushing's syndrome. D: Impaired wound healing is also a physiological issue, not a psychosocial problem.
Question 5 of 5
The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats/minute. The nurse determines that the client is experiencing which dysrhythmia?
Correct Answer: C
Rationale: The correct answer is C: Ventricular tachycardia. In this dysrhythmia, there are no P waves, wide QRS complexes, and a regular ventricular rate exceeding 140 bpm. This indicates an abnormal rhythm originating in the ventricles, leading to a fast and potentially life-threatening heart rate. Sinus tachycardia (A) would show normal P waves with a fast but regular rhythm. Ventricular fibrillation (B) would present as chaotic, irregular electrical activity with no identifiable QRS complexes. Premature ventricular contractions (D) would show irregular ventricular beats occurring earlier than expected. Therefore, based on the specific characteristics described, the correct choice is ventricular tachycardia.