ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Which statement indicates to the nurse the client is experiencing some hearing loss?
Correct Answer: B
Rationale: The correct answer is B because consistently turning up the volume on the television suggests the client is having difficulty hearing. This behavior indicates a potential hearing loss as the individual may not be able to hear the TV at normal volume levels. Cleaning ears daily (A) is a routine hygiene practice and does not necessarily indicate hearing loss. Ear pain when yawning (C) could be related to ear infections or eustachian tube dysfunction, not specifically hearing loss. Dizziness upon standing (D) is more indicative of orthostatic hypotension or inner ear issues, not necessarily hearing loss.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?
Correct Answer: A
Rationale: Step 1: Polyuria is excessive urination, a common symptom of uncontrolled diabetes leading to chronic complications. Step 2: High blood glucose levels in unmanaged diabetes cause increased urination due to excess glucose in the blood. Step 3: Chronic high blood glucose can damage blood vessels, nerves, and organs over time, leading to complications. Step 4: Polyuria is a sign of poor blood glucose control, indicating a risk for chronic complications. Summary: Polyuria is the correct answer because it directly relates to unmanaged diabetes and the risk of chronic complications. Diaphoresis, pedal edema, and decreased respiratory rate are not directly linked to uncontrolled blood glucose and chronic complications in diabetes.