ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 60 : Assessment of Integumentary Function Questions
Question 1 of 5
A nurse is conducting a health interview and is assessing for integumentary conditions that are known to have a genetic component. What assessment question is most appropriate?
Correct Answer: A
Rationale: Eczema and psoriasis have a known genetic component, making this the most relevant question. Melanoma, vitiligo, port-wine stains, and keloid scarring have less consistent genetic links.
Question 2 of 5
A nurse in the emergency department (ED) is triaging a 5-year-old who has been brought to the ED by her parents for an outbreak of urticaria. What would be the most appropriate question to ask this patient and her family?
Correct Answer: A
Rationale: Food allergies are a common cause of urticaria in children. Bathing, visiting friends, or soil exposure are less likely to be relevant triggers.
Question 3 of 5
A nurse practitioner working in a dermatology clinic finds an open lesion on a patient who is being assessed. What should the nurse do next?
Correct Answer: B
Rationale: Assessing and documenting the characteristics of an open lesion is the priority to guide further diagnostics or treatment. Culture, pH testing, or antibiotics should follow assessment.
Question 4 of 5
The nurse is performing a comprehensive assessment of a patients skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way?
Correct Answer: C
Rationale: Palpation assesses skin moisture, temperature, and texture. Woods light is for pigmentation, sunlight is impractical, and percussion is not used for skin assessment.
Question 5 of 5
A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patients health history, the nurse should identify what comorbidity as increasing the patients vulnerability to skin infections?
Correct Answer: D
Rationale: Diabetes increases susceptibility to skin infections like cellulitis due to impaired immune response and poor wound healing. COPD, rheumatoid arthritis, and gout are less directly related.