ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A child presents with multiple, discrete, skin-colored, 1- to 3-mm dome-shaped smooth papules on the face with central umbilication. Which is the most likely diagnosis?
Correct Answer: D
Rationale: Molluscum contagiosum presents as umbilicated, dome-shaped papules.
Question 2 of 5
Which is the best initial treatment for dislocated, unrelocatable, congenitally dysplastic hips first discovered at 7 months of age?
Correct Answer: C
Rationale: At 7 months, a plaster spica cast is used for congenital hip dysplasia after failed relocation.
Question 3 of 5
A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?
Correct Answer: B
Rationale: Maintaining a supine position can worsen gas exchange in a client with thoracic burns and smoke inhalation due to reduced lung expansion and potential airway obstruction. Repositioning, suctioning, and humidified oxygen are beneficial for airway management and oxygenation.
Question 4 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?
Correct Answer: A
Rationale: A partial-thickness superficial burn (first-degree) affects only the epidermis, resulting in redness and possibly a wet, shiny surface if minor blistering occurs. Deeper burns (dry surface, charring, no sensation) indicate full-thickness or greater severity.
Question 5 of 5
A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:
Correct Answer: A
Rationale: Moles with variegated color, irregular borders, or surfaces suggest potential malignancy (e.g., melanoma) per ABCDE criteria, warranting suspicion and further evaluation.