ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
Which statement by the client diagnosed with a fractured ulna indicates to the nurse the client needs further teaching?
Correct Answer: D
Rationale: The correct answer is D because keeping the immobilizer on only when lying down is incorrect. The client should wear the immobilizer at all times to promote proper healing and prevent further injury. Choice A is correct as a high-protein diet aids in tissue repair. Choice B is correct as finger wiggling promotes circulation. Choice C is correct as taking pain medication preemptively is better than waiting for severe pain.
Question 2 of 5
The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by the client indicates that the instructions are understood?
Correct Answer: D
Rationale: The correct answer is D because reporting fever or swelling post knee arthroscopy is crucial to prevent complications like infection or blood clots. This demonstrates understanding of the potential risks and the importance of prompt communication with the healthcare provider. Choice A is incorrect as immediate resumption of regular exercise after knee arthroscopy can lead to further injury. Choice B is incorrect as proper nutrition is important for recovery. Choice C is incorrect as some weight-bearing might be necessary as per physician's advice.
Question 3 of 5
Which nursing intervention is the highest priority when administering pain medication to a client experiencing acute pain?
Correct Answer: C
Rationale: The correct answer is C: Check for the client's allergies. This is the highest priority because knowing the client's allergies helps prevent potential adverse reactions when administering pain medication. Monitoring vital signs (A) is important but comes after checking for allergies. Verifying the time of the last dose (B) is essential for dose timing but not the highest priority. Discussing pain with the client (D) is important for assessment but not as critical as ensuring safety by checking for allergies.
Question 4 of 5
The nurse is caring for a client diagnosed with acute otitis media. Which sign/symptom supports this medical diagnosis?
Correct Answer: A
Rationale: Rationale: A: Unilateral pain in the ear is indicative of acute otitis media due to inflammation of the middle ear. B: Green, foul-smelling drainage is more common in chronic otitis media or ear infections, not acute. C: Sensation of congestion in the ears is vague and can be seen in various ear conditions. D: Reports of hearing loss are more common in chronic otitis media or severe cases, not acute. Therefore, the correct answer is A as it aligns with the typical presentation of acute otitis media.
Question 5 of 5
The nurse is assessing the client's cranial nerves. Which assessment data indicate cranial nerve I is intact?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Cranial nerve I is the olfactory nerve responsible for the sense of smell. 2. Assessing the client's ability to identify a peppermint smell tests the olfactory nerve. 3. If the client can identify the smell, it indicates cranial nerve I is intact. Summary: A: Assessing cold and hot sensation on the face tests cranial nerve V (trigeminal nerve). B: Tongue tremor is not related to cranial nerve I, but to cranial nerve XII (hypoglossal nerve). C: Ptosis of the eyelids is related to cranial nerve III (oculomotor nerve), not cranial nerve I.