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ATI LPN · Medical Surgical Nursing · Skin Integrity Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which data indicate to the nurse the client who is one(1) day postoperative right total hip replacement is progressing as expected?

A. Urine output was 160 mL in the past eight(8) hours.

B. Paralysis and parasthesia of the right leg.

C. T 99.0Â°F, P 98, R 20, and BP 100/60.

D. Lungs are clear bilaterally in all lobes.

Expert Explanatory Rationale

Correct Answer: Lungs are clear bilaterally in all lobes.

Question 2 of 5

A nurse is preparing to administer a prn medication to a 6-year-old child for pruritus. Which order should the nurse question?

A. Chlorpheniramine(Chlor-Trimeton) 2 mg every 6 hours with food

B. Cyproheptadine(Periactin) 2-4 mg every 8-12 hours

C. Diphenhydramine(Benadryl) 50 mg PO every 4-6 hours

D. Hydroxyzine(Atarax) 2 mg/kg/day in divided doses every 6-8 hours

Expert Explanatory Rationale

Correct Answer: Diphenhydramine(Benadryl) 50 mg PO every 4-6 hours

Question 3 of 5

A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?

A. Shave biopsy

B. Punch biopsy

C. Incisional biopsy

D. Excisional biopsy

Expert Explanatory Rationale

Correct Answer: Incisional biopsy

Question 4 of 5

At the time of admission, the client is asked if he has a healthcare directive. The client reports that his daughter will be allowed to make health-related decisions if he becomes incapacitated. Based upon your knowledge, the client has a/n:

A. Living will.

B. Healthcare surrogate.

C. Durable power of attorney.

D. Advanced directive.

Expert Explanatory Rationale

Correct Answer: Healthcare surrogate.

Question 5 of 5

What data should the nurse report to the HCP immediately for a client with a fractured left tibia and fibula?

A. Localized edema and discoloration occurring hours after injury

B. Generalized weakness and increasing sensitivity to touch

C. Dorsalis pedal pulse cannot be located with Doppler and increasing pain

D. Pain relieved after taking hydromorphone

Expert Explanatory Rationale

Correct Answer: Dorsalis pedal pulse cannot be located with Doppler and increasing pain

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