ATI LPN
NCLEX Questions on Integumentary System Questions
Question 1 of 5
A 30-year-old African American had surgery 6 months ago and the incision site is now raised, indurated, and shiny. This is most likely which type of tissue growth?
Correct Answer: B
Rationale: Keloids, which originate in scars, are hard and shiny and are seen more often in African Americans than in whites.
Question 2 of 5
While bathing a patient, the nurse discovers a grayish black, nodular growth that resembles a blackberry in the middle of the patient's back. What action should the nurse take?
Correct Answer: A
Rationale: These findings are consistent with a nodular malignant melanoma. This lesion should be evaluated by the physician and removed immediately once the diagnosis is confirmed. Teaching the patient to assess for changes is a lesser priority action. Actinic keratoses are not consistent with these findings but instead appear on fair-skinned people as small, scaly, red, or grayish papules. Biopsy is required before any diagnosis can be confirmed, at which time the physician should disclose the results.
Question 3 of 5
The nurse describes common complications that burn patients may experience. Which description best fits edema?
Correct Answer: D
Rationale: Edema results from an inflammatory response causing fluid to shift into interstitial spaces.
Question 4 of 5
A client returns to the clinic for a follow-up treatment following a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicated that the lesion is a squamous cell carcinoma. The nurse plans care knowing that which of the following describes the characteristic of this type of a lesion?
Correct Answer: C
Rationale: Squamous cell carcinoma typically invades locally but metastasizes less frequently than melanoma.
Question 5 of 5
A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?
Correct Answer: C
Rationale: Antibody tests for Lyme disease are unreliable shortly after a bite; 4-6 weeks allows seroconversion for accurate results.