ATI RN
Integumentary System of Pediatrics Questions
Question 1 of 5
A client returns to the clinic for a follow-up treatment following a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicated that the lesion is a squamous cell carcinoma. The nurse plans care knowing that which of the following describes the characteristic of this type of a lesion?
Correct Answer: C
Rationale: Squamous cell carcinoma grows locally and invades surrounding tissues but metastasizes less frequently than melanoma. It is not encapsulated nor entirely non-metastatic.
Question 2 of 5
A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and lifethreatening dysfunctions have been addressed, the nurse reviews the physician's orders anticipating that which pain medication will be prescribed?
Correct Answer: A
Rationale: Severe burns require potent, rapid analgesia like IV morphine due to intense pain and potential shock. Oral or subcutaneous routes are less effective acutely.
Question 3 of 5
A community health nurse is providing a teaching session to firefighters in a small community regarding care to a victim at the scene of a burn injury. The community health nurse instructs the firefighters that in the event of a tar burn the immediate action would be to:
Correct Answer: A
Rationale: Cooling a tar burn with water solidifies the tar and reduces heat damage, allowing safer removal later. Immediate clothing or tar removal can worsen tissue injury.
Question 4 of 5
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
Correct Answer: B
Rationale: Sutures from a skin biopsy are typically removed after 7-14 days, not 24 hours, indicating a misunderstanding requiring further instruction.
Question 5 of 5
Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?
Correct Answer: B
Rationale: Stage 2 Lyme disease involves disseminated infection, often with cardiac (e.g., conduction defects) or neurological symptoms. Rash is stage 1, joint issues are stage 3.