ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
A client returns to the clinic for follow-up treatment following a skin biopsy of a suspicious lesion performed one (1) week ago. The biopsy report indicates that the lesion is a melanoma. The nurse understands that which of the following describes a characteristic of this type of a lesion?
Correct Answer: B
Rationale: Melanoma is aggressive and highly metastatic, often spreading to other parts of the body if untreated.
Question 2 of 5
A nurse has assessed the skin of a newborn with the AWHONN Neonatal Skin Condition Score Tool and determines that her patient has a score of 3. What action by the nurse is most appropriate?
Correct Answer: A
Rationale: This is a perfect score using this tool. The nurse should document the findings and continue to monitor per agency protocol.
Question 3 of 5
Which client should the nurse use caution with when applying mafenide acetate to a burned area?
Correct Answer: B
Rationale: Mafenide acetate (Sulfamylon) impairs renal buffering, increasing bicarbonate excretion and requiring pulmonary compensation. In COPD, this compensation may fail, leading to metabolic acidosis, necessitating caution. Normal creatinine, good oxygenation, and diabetes do not pose specific risks.
Question 4 of 5
The female client calls the clinic to report a painful sunburn. Which information should the nurse discuss with the client?
Correct Answer: A
Rationale: Aloe soothes minor burns like sunburn. Calamine is for itching (e.g., poison ivy), Echinacea is for infections, and baking soda is for insect bites, not sunburn.
Question 5 of 5
The client diagnosed with psoriasis has been prescribed secukinumab. Which clinical manifestations would alert the nurse to a potential adverse reaction?
Correct Answer: A
Rationale: Secukinumab's adverse effects include sinusitis and urticaria (welts). Weakness/dizziness, constipation, and calf swelling (possible clot) aren't linked to this drug.