ATI LPN
Integumentary System Questions Questions
Question 1 of 5
A client asks which method of contraception will provide the greatest protection against sexually transmitted infections. What method can the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Male condoms. Condoms provide a physical barrier that can significantly reduce the risk of sexually transmitted infections (STIs) by preventing direct contact between bodily fluids. They are the most effective method for STI protection. Oral contraceptives (A) do not protect against STIs. Sponges (C) and spermicides (D) offer some pregnancy protection but do not provide significant STI protection like condoms do.
Question 2 of 5
A nurse cares for older adult clients in a long-term acute care facility. Which intervention should the nurse implement to prevent skin breakdown?
Correct Answer: A
Rationale: The correct answer is A: Use a lift sheet when moving the client in bed. This intervention is crucial for preventing skin breakdown in older adults as it reduces friction and shear forces on the skin. Moving the client without a lift sheet can cause pressure ulcers. Avoiding tape (B) is important to prevent skin irritation but not specifically for skin breakdown prevention. Whirlpool therapy (C) can be beneficial for wound healing but is not directly related to preventing skin breakdown. Using loose dressings (D) may not provide adequate protection and could lead to further complications.
Question 3 of 5
A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left arm. How should the nurse document the percentage of the client's body that sustained burns?
Correct Answer: C
Rationale: The rule of nines divides the body into regions each representing 9% or multiples of 9% for adults. The back region is approximately 18% and the left arm is 9%. So, the total percentage of the body with burns is 18% + 9% = 27% (Choice C). The other choices are incorrect as they do not accurately represent the percentage of body surface area affected by burns based on the rule of nines.
Question 4 of 5
Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
Correct Answer: D
Rationale: The correct answer is D because petechiae are tiny, pinpoint red or purple spots on the skin caused by bleeding under the skin. This could indicate a serious underlying medical condition such as a bleeding disorder or infection. It is crucial to discuss this immediately with the health care provider to determine the cause and initiate appropriate treatment. Choices A, B, and C are not as urgent as petechiae as they are more commonly seen in older adults and are not typically indicative of a serious medical issue requiring immediate attention.
Question 5 of 5
The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?
Correct Answer: C
Rationale: The correct answer is C because applying a thick layer of corticosteroid cream can lead to overuse and potential side effects such as skin thinning. The optimal amount of cream should be applied thinly to the affected area. Choice A is correct as tepid baths can help soothe the skin before application. Choice B is correct as spreading the cream in a downward motion aligns with the direction of hair growth. Choice D is incorrect as covering the area with a dressing can enhance the absorption of the cream and improve its effectiveness.