ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A child is in the emergency department(ED) with a dog bite. After cleansing the wound and attending to the childs comfort, which action should the nurse perform next?
Correct Answer: D
Rationale: The correct answer is D: Report the bite to authorities. This is important to ensure proper follow-up care, prevention of rabies transmission, and identification of potentially dangerous dogs. Antibiotics may be needed but should be prescribed by a healthcare provider. Offering a toy may provide comfort but is not the priority. Discharge teaching can be done after addressing the immediate safety concerns. Reporting the bite to authorities is crucial for public health and safety.
Question 2 of 5
The male client diagnosed with a stage 4 pressure ulcer on the coccyx area is being treated with an autolytic medication for debridement and an occlusive dressing. The wife asks about a foul odor. Which statement is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C: 'The odor is an expected reaction to the pressure dressing.' The rationale is that in the scenario provided, the male client is being treated with an occlusive dressing for the pressure ulcer. Occlusive dressings can sometimes lead to a foul odor due to the accumulation of exudate and bacteria under the dressing, which is a normal part of the healing process. The nurse's response should reassure the wife that the odor is expected and not necessarily indicative of an infection. Option A: 'I will contact your husband's doctor when he makes rounds.' This response does not address the wife's concern about the foul odor and delays providing necessary information. Option B: 'The odor is secondary to an infection and he is taking antibiotics.' This response assumes an infection without proper assessment and may mislead the wife about the cause of the odor. Option D: 'I am sorry the odor bothers you. We will bathe your husband.' This response does not address the underlying cause
Question 3 of 5
Which information should the nurse discuss with the client diagnosed with seborrheic dermatitis of the scalp?
Correct Answer: C
Rationale: Correct Answer: C Rationale: The nurse should discuss rotating two or three different types of shampoos daily with the client diagnosed with seborrheic dermatitis of the scalp. This is because using different shampoos can help prevent the scalp from becoming resistant to one specific shampoo and can also help target different aspects of the condition. Using the same shampoo repeatedly may lead to decreased effectiveness over time. Additionally, rotating shampoos can help prevent the buildup of product residue on the scalp, which can exacerbate seborrheic dermatitis symptoms. This approach promotes scalp health and reduces the risk of irritation and flare-ups. Incorrect Choices: A: Using a fine-toothed comb after shampooing may exacerbate irritation and inflammation in seborrheic dermatitis. B: Applying hydrocortisone 1% twice a day may provide temporary relief but is not a long-term solution for managing seborrheic dermatitis and can have side effects with prolonged
Question 4 of 5
Which of the following statements are correct regarding actinic keratosis?
Correct Answer: A
Rationale: The correct answer is A because actinic keratosis lesions typically present as scaly, rough patches on the skin. This is due to the abnormal thickening of the outer layer of the skin caused by sun damage. Choice B is incorrect as actinic keratosis is more common in individuals with fair skin due to their increased sensitivity to UV radiation. Choice C is incorrect as the key microscopic feature of actinic keratosis is the presence of dysplastic cells, not atypical dividing cells in the prickle cell layer. Choice D is incorrect as actinic keratosis can progress to squamous cell carcinoma, not basal cell carcinoma.
Question 5 of 5
Which of the following statements are correct regarding lipomas?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): Lipomas are indeed the commonest benign tumors, typically composed of adipose (fat) tissue. They are usually slow-growing and painless. This statement accurately reflects the characteristic of lipomas. Summary of Incorrect Choices: B: Lipomas are not more common in males; they occur with equal frequency in both males and females. C: While lipomas can arise in various connective tissues, they most commonly develop in subcutaneous fat. D: Lipomas can occur in various locations, including the palm, sole of foot, and scalp, although they are more commonly found in other areas.