ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A client is seen in the health care clinic and the physician suspects herpes zoster. The nurse prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?
Correct Answer: C
Rationale: Herpes zoster is confirmed via viral culture or PCR from lesion fluid, requiring a swab and tube. Biopsy is invasive, Wood's light detects fungal infections, and patch tests assess allergies.
Question 2 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 3 of 5
A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:
Correct Answer: D
Rationale: Red-tan scaly plaques are characteristic of actinic keratoses, precancerous lesions from sun exposure. Seborrhea is oily, xerosis is dry skin, and pruritus is itching.
Question 4 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 5 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.