ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago. What should the nurse do?
Correct Answer: A
Rationale: The correct answer is A: Assess frequently for herpes zoster. This is the correct action because the patient, having had chickenpox before, is at risk for developing herpes zoster (shingles) after exposure to varicella. Assessing frequently allows for early detection and intervention. Choice B is incorrect because immunity to chickenpox does not eliminate the risk of developing shingles. Choice C is incorrect as pneumonia vaccine is not directly related to the patient's current situation. Choice D is incorrect as gamma globulin is not indicated for this scenario.
Question 2 of 5
The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Wash your face gently with mild soap. This is important because gentle cleansing helps remove excess oil and impurities without irritating the skin, which can worsen acne. It is essential to maintain a clean skin surface to prevent further breakouts. A: Avoid all chocolate - While diet may play a role in acne for some individuals, there is no conclusive evidence linking chocolate consumption to acne in all cases. C: Scrub your face with a soft brush - Scrubbing the face can irritate the skin and worsen acne by causing inflammation and spreading bacteria. D: Gently express clogged sebum from your pores - This can lead to further inflammation and scarring, and should be avoided as it can worsen acne.
Question 3 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes contact dermatitis?
Correct Answer: A
Rationale: The correct answer is A: Cell-mediated immunity resulting in inflammatory response. Contact dermatitis is a type of dermatitis that occurs when the skin comes in contact with an irritant or allergen, leading to an inflammatory response mediated by T cells. This response causes redness, swelling, and itching at the site of contact. Choice B is incorrect because erythema and pruritus with scaling associated with phlebitis do not specifically describe contact dermatitis. Choice C is incorrect as it describes seborrheic dermatitis, not contact dermatitis. Choice D is incorrect because mast cell-stimulated release of histamine is more characteristic of allergic reactions like urticaria, not contact dermatitis.
Question 4 of 5
On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, 'Is this cancer?' The nurse makes which response to the client?
Correct Answer: A
Rationale: The correct answer is A: "These are likely to be benign moles." The rationale is as follows: 1. Size: The nevi is less than one centimeter, which is typically indicative of a benign lesion. 2. Color: The description of a flat brown circular nevi suggests a classic appearance of a benign mole. 3. Assessment: Based on the characteristics provided, the nurse can reasonably assume that the nevi are benign. In summary, the other choices are incorrect because B is too alarmist without proper assessment, C is an extreme statement without sufficient evidence, and D is incorrect as verrucae are wart-like growths, not moles.
Question 5 of 5
The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?
Correct Answer: A
Rationale: The correct answer is A: assessing peripheral pulses. In circumferential burns of both legs, there is a risk of compartment syndrome due to swelling and restricted blood flow. Assessing peripheral pulses helps determine if there is adequate circulation to the extremities, which is crucial for preventing tissue damage and ensuring limb viability. It is the priority because impaired circulation can lead to serious complications like tissue necrosis. Assessing neurological status (B) is important but assessing circulation takes precedence. Assessing urine output (C) and blood pressure (D) are essential but not as immediate in this scenario.