ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be most concerned about with this dysrhythmia?
Correct Answer: A
Rationale: The correct answer is A because ventricular tachycardia can deteriorate into ventricular fibrillation, a more life-threatening rhythm. Ventricular tachycardia is a precursor to ventricular fibrillation due to the rapid, disorganized electrical activity of the ventricles. This can lead to ineffective pumping of the heart, causing decreased cardiac output and potential cardiac arrest. Choices B, C, and D are incorrect because ventricular tachycardia can be converted to a normal rhythm with prompt intervention such as medications or electrical cardioversion. The sense of impending doom and discomfort described in choices C and D are more commonly associated with other dysrhythmias, such as atrial fibrillation or atrial flutter, rather than ventricular tachycardia.
Question 2 of 5
A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago. What should the nurse do?
Correct Answer: A
Rationale: The correct answer is A: Assess frequently for herpes zoster. This is the correct action because the patient, having had chickenpox before, is at risk for developing herpes zoster (shingles) after exposure to varicella. Assessing frequently allows for early detection and intervention. Choice B is incorrect because immunity to chickenpox does not eliminate the risk of developing shingles. Choice C is incorrect as pneumonia vaccine is not directly related to the patient's current situation. Choice D is incorrect as gamma globulin is not indicated for this scenario.
Question 3 of 5
A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed nasal hairs. The nurse needs to assess this patient frequently for which condition?
Correct Answer: C
Rationale: The correct answer is C: Respiratory complications. Singed nasal hairs indicate inhalation injury, which can lead to respiratory complications such as airway swelling, pneumonia, or acute respiratory distress syndrome. Assessing the patient frequently is crucial to monitor for signs of respiratory distress and intervene promptly. Incorrect Choices: A: Decreased activity - Not directly related to singed nasal hairs or burns to the chest. B: Bradycardia - Singed nasal hairs are not typically associated with bradycardia. D: Hypertension - Singed nasal hairs do not directly indicate hypertension.
Question 4 of 5
The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Wash your face gently with mild soap. This is important because gentle cleansing helps remove excess oil and impurities without irritating the skin, which can worsen acne. It is essential to maintain a clean skin surface to prevent further breakouts. A: Avoid all chocolate - While diet may play a role in acne for some individuals, there is no conclusive evidence linking chocolate consumption to acne in all cases. C: Scrub your face with a soft brush - Scrubbing the face can irritate the skin and worsen acne by causing inflammation and spreading bacteria. D: Gently express clogged sebum from your pores - This can lead to further inflammation and scarring, and should be avoided as it can worsen acne.
Question 5 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes contact dermatitis?
Correct Answer: A
Rationale: The correct answer is A: Cell-mediated immunity resulting in inflammatory response. Contact dermatitis is a type of dermatitis that occurs when the skin comes in contact with an irritant or allergen, leading to an inflammatory response mediated by T cells. This response causes redness, swelling, and itching at the site of contact. Choice B is incorrect because erythema and pruritus with scaling associated with phlebitis do not specifically describe contact dermatitis. Choice C is incorrect as it describes seborrheic dermatitis, not contact dermatitis. Choice D is incorrect because mast cell-stimulated release of histamine is more characteristic of allergic reactions like urticaria, not contact dermatitis.