ATI RN
Pediatric Integumentary Questions Questions
Question 1 of 5
A 2-year-old child presents with symmetric psoriasiform skin lesions distributed in the perioral, acral, and perineal areas and on the cheeks, knees, and elbows. There is mild alopecia and a history of chronic diarrhea. Which is the most likely diagnosis?
Correct Answer: C
Rationale: Acrodermatitis enteropathica (zinc deficiency) causes psoriasiform lesions, alopecia, and diarrhea.
Question 2 of 5
A nurse assesses a burn injury and determines that the client sustained a fullthickness fourth-degree burn if which of the following is noted at the site of injury?
Correct Answer: C
Rationale: Fourth-degree burns extend beyond the skin into underlying tissues (muscle, bone) and are characterized by charring due to severe tissue destruction. Wet, shiny surfaces or blisters indicate less severe burns (e.g., second-degree), while a dry surface may suggest third-degree.
Question 3 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness deep burn. Based on this determination, which finding did the nurse note?
Correct Answer: B
Rationale: A partial-thickness deep burn (deep second-degree) extends into the dermis, often appearing dry or waxy due to deeper tissue damage, unlike the wet, weeping surface of superficial burns. Charring and no sensation suggest full-thickness burns.
Question 4 of 5
A client is diagnosed with herpes zoster (shingles). Which pharmacological therapy would the nurse expect to be prescribed to treat this disorder?
Correct Answer: C
Rationale: Acyclovir is an antiviral used to treat herpes zoster by reducing viral replication. Tetracycline and erythromycin are antibiotics, and indomethacin is an NSAID, none of which target viral infections.
Question 5 of 5
A nurse reviews the health care record of a client diagnosed with herpes zoster. Which finding would the nurse expect to note as characteristic of this disorder?
Correct Answer: D
Rationale: Herpes zoster presents as clustered vesicles along a dermatome due to varicella-zoster virus reactivation. Other options describe different conditions (e.g., measles, Koplik spots, erysipelas).