ATI RN
Integumentary System Exam Questions Questions
Question 1 of 5
A client admitted to the ED complains of itching of the trunk and groin. You note the presence of multiple reddened wheals on the chest, back, and groin. Which question is most appropriate to ask next?
Correct Answer: D
Rationale: The most appropriate question to ask next is D: Are you taking any new medications? This is because the symptoms described, itching and reddened wheals, are suggestive of an allergic reaction, which can be caused by medications. By asking about new medications, you can identify potential triggers for the symptoms. Choice A (family history of eczema) is less relevant as the focus should be on the current symptoms and potential triggers. Choice B (sunscreen use) is not as pertinent to the symptoms described. Choice C (stress management) is important for overall health but is not directly related to the current presentation of symptoms.
Question 2 of 5
What instruction should the nurse give to an elderly client to reduce the itching that results from dry skin?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse is providing information to clients in a dermatologist’s office about prevention of skin cancer. Which of the following is the most important prevention measure when teaching a client who frequents a swimming pool?
Correct Answer: B
Rationale: The correct answer is B: Use a sunscreen with an SPF of at least 15 and reapply every 2 hours. Sunscreen is crucial in preventing skin cancer by protecting the skin from harmful UV rays. The SPF of 15 or higher provides adequate protection. Reapplying every 2 hours ensures continuous protection. A: Wearing a hat with a wide brim is important but not as effective as sunscreen in preventing skin cancer. C: Using a lip balm with sunscreen is beneficial, but protecting larger areas of the skin with sunscreen is more important. D: Staying in the shade and swimming after 2:00 p.m. may reduce sun exposure, but sunscreen is still necessary for comprehensive protection.
Question 4 of 5
A nurse is caring for a client with an allograft. Which of the following describes the source of the allograft?
Correct Answer: D
Rationale: The correct answer is D: Human skin obtained from a cadaver. Allograft refers to tissue or organ transplanted from one individual to another of the same species. In this case, the allograft is human skin obtained from a cadaver, which is a common source for skin grafts in medical procedures. Choice A is incorrect as it describes an autograft, which involves transplanting skin from one part of the client's body to another. Choice B is incorrect as it refers to xenografts, which use tissue from animals. Choice C is incorrect as it describes a synthetic skin substitute made from bioengineered materials, not human skin from a cadaver.
Question 5 of 5
Priority Decision: A 46-year-old African American patient is scheduled to have a basal cell carcinoma on his cheek excised in the health care provider’s office. What factor is most important for the nurse to obtain in the patient's history?
Correct Answer: C
Rationale: The correct answer is C: Prior treatments for the lesion. This is important to determine the effectiveness of previous treatments and any potential complications. It helps guide the current treatment plan and avoid any adverse reactions. A: Protected sun exposure is not the most important factor as the focus is on the lesion and its treatment, not general sun exposure. B: Radiation treatment for acne is not relevant to the current situation of excising a basal cell carcinoma. D: Exposure to harsh irritants such as ammonia is not directly related to the management of the basal cell carcinoma lesion.