ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse will
Correct Answer: C
Rationale: The correct answer is C: check the lips and oral mucous membranes. Cyanosis is characterized by a bluish discoloration of the skin and mucous membranes due to decreased oxygen levels in the blood. Lips and oral mucous membranes are highly vascular and can provide a quick indication of cyanosis. Assessing for a bluish tinge in the sclera (A) may be difficult in dark-skinned individuals. Applying pressure to the palms of the hands (B) does not directly assess for cyanosis. Examining the nailbeds for capillary refill (D) is more related to circulation rather than respiratory distress.
Question 2 of 5
A new patient presents at the clinic and the nurse performs a comprehensive health assessment. The nurse notes that the patients fingernail surfaces are pitted. The nurse should suspect the presence of what health problem?
Correct Answer: C
Rationale: The correct answer is C: Psoriasis. Pitted fingernails are a common finding in psoriasis, a chronic autoimmune skin condition. The pitting occurs due to abnormal growth of the nail matrix cells. In eczema (choice A), there is typically no nail involvement. Systemic lupus erythematosus (choice B) can cause nail changes, but pitting is not a common feature. COPD (choice D) does not directly cause nail pitting. Therefore, based on the presentation of pitted fingernails, psoriasis is the most likely health problem.
Question 3 of 5
The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment. A primary nursing diagnosis is:
Correct Answer: B
Rationale: The correct answer is B: body image disturbance. Skin grafting for burn wound treatment can greatly impact a patient's body image due to scarring and changes in appearance. This can lead to psychological distress and affect the patient's self-esteem and social interactions. Addressing body image disturbance is crucial for the patient's emotional well-being and overall recovery. Incorrect choices: A: altered nutrition, less than body requirements - While nutrition is important for wound healing, it is not the primary concern in this case. C: decreased cardiac output - This choice is not directly related to skin grafting and burn wound treatment. D: fluid volume deficit - Though fluid balance is important post-surgery, it is not the primary nursing diagnosis in this scenario.
Question 4 of 5
After a health interview the nurse is concerned that a patient might develop vitamin D deficiency. What information did the nurse use to come to this conclusion?
Correct Answer: C
Rationale: The correct answer is C because spending no time outdoors in the sun can lead to vitamin D deficiency since sunlight is a primary source of vitamin D production in the body. Choice A is incorrect because spending time in the sun can actually help with vitamin D production. Choice B is incorrect because using emollient lotion does not directly impact vitamin D levels. Choice D is also incorrect as restricting caffeinated beverages is not related to vitamin D deficiency. In summary, the lack of sun exposure in choice C is the main reason for the concern of vitamin D deficiency in this scenario.
Question 5 of 5
A nurse is preparing to discharge an emergency department patient who has been fitted with a sling to support her arm after a clavicle fracture. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D because using the arm for light activities within the range of motion helps prevent stiffness and muscle atrophy. It promotes blood circulation and aids in the healing process without putting excessive strain on the fracture site. Explanation: - Choice A: Elevating the arm above the shoulder could increase swelling and impede circulation, leading to complications. - Choice B: Immobilizing the elbow, wrist, and fingers can result in joint stiffness and muscle weakness, hindering recovery. - Choice C: Engaging in active range of motion with the affected arm can be too strenuous and may disrupt the healing process by causing further damage to the fracture site.