ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A client is seen in the health care clinic and a biopsy is performed on a skin lesion that the physician suspects malignant melanoma. The nurse prepares a plan of care for the client based on which characteristics of this type of skin cancer?
Correct Answer: A
Rationale: Melanoma is aggressive, metastasizes rapidly, and requires aggressive treatment. Basal cell carcinoma is common and slow-growing, not melanoma.
Question 2 of 5
The client is diagnosed with stage 1 of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?
Correct Answer: D
Rationale: Stage 1 Lyme disease is characterized by erythema migrans (skin rash) at the tick bite site. Later stages involve joint (stage 2/3) or neurological symptoms (stage 3).
Question 3 of 5
The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?
Correct Answer: D
Rationale: Patch test sites must remain dry to ensure accurate allergen response readings, typically at 48 hours and later. Reapplying patches or waiting 2 weeks is incorrect.
Question 4 of 5
A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?
Correct Answer: C
Rationale: Lyme disease serology is unreliable early post-bite; antibodies develop after 4-6 weeks, making this the appropriate time for accurate testing without the tick.
Question 5 of 5
A nurse is preparing a plan of care for a client with a diagnosis of acute cellulitis of the lower leg. The nurse anticipates which measure will be prescribed to treat this condition?
Correct Answer: A
Rationale: Warm moist compresses promote vasodilation and antibiotic delivery to the cellulitis site, aiding resolution. Cold compresses or heat lamps are less effective.