ATI RN
Integumentary System of Pediatrics Questions
Question 1 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 2 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.
Question 3 of 5
The client with acquired immunodeficiency syndrome (AIDS) is suspected of having cutaneous Kaposi's sarcoma. The nurse prepares the client for which test that will confirm the presence of this type of sarcoma?
Correct Answer: C
Rationale: A punch biopsy of the lesion confirms Kaposi's sarcoma by histopathology, identifying vascular tumor cells. Other tests are unrelated to skin lesion diagnosis.
Question 4 of 5
A client sustained full-thickness burns to both hands from scalding water. A sheet graft was surgically applied to the wounds. The nurse tells the client that this type of graft is indicated for which of the following primary purposes?
Correct Answer: B
Rationale: Sheet grafts (ungmeshed autografts) are used on visible areas like hands for superior cosmetic outcomes due to even healing, despite being harder to manage initially.
Question 5 of 5
A student nurse is instructed by the registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis was in the:
Correct Answer: D
Rationale: In dark-skinned clients, cyanosis is best assessed in the sclera, conjunctiva, or oral mucosa (e.g., lips), not the tongue, where pigmentation obscures changes.