ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A group of students is attending an in-service about do-not-resuscitate orders. Which of the following statements by one of the students indicate the need for further teaching?
Correct Answer: A
Rationale: The correct answer is A: "Do-not-resuscitate orders are a form of euthanasia and I can just participate in a slow code if not completed." This statement is incorrect because do-not-resuscitate orders are not a form of euthanasia. Euthanasia involves intentionally ending a patient's life, while DNR orders allow for a natural death without resuscitative measures. Additionally, participating in a "slow code" is unethical and not an appropriate response to a DNR order. Choices B and C are correct statements. B: "My nursing license will not be in jeopardy if I follow do-not-resuscitate orders" is true as long as the nurse follows legal and ethical guidelines. C: "Do-not-resuscitate orders may be rescinded if the client wishes" is also accurate as patients have the right to change their preferences regarding resuscitative measures.
Question 2 of 5
While assessing a client, a nurse detects a bluish tinge to the client's palms, soles, and mucous membranes. Which action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Use pulse oximetry to assess the client's oxygen saturation. The bluish tinge, known as cyanosis, indicates decreased oxygen saturation in the blood. Using pulse oximetry will provide objective data on the client's oxygen levels. This is crucial in determining the severity of hypoxemia and guiding further interventions. Choice A: Asking about medications is not the immediate priority when cyanosis is detected. Medications may be relevant but do not address the urgent need for assessing oxygen saturation. Choice C: Auscultating lung fields is important in assessing respiratory status, but it does not directly address the need to determine the client's oxygen saturation level. Choice D: Palpating pulses can provide information on perfusion, but it does not directly assess the client's oxygenation status, which is the immediate concern when cyanosis is present.
Question 3 of 5
A nurse assesses clients on a medical-surgical unit. Which client should the nurse evaluate for a wound infection?
Correct Answer: C
Rationale: The correct answer is C because a white blood cell count of 23,000/mm³ indicates a potential infection. Elevated WBC count is a common sign of infection as the body responds to pathogens. The other choices are incorrect because: A: Blood cultures pending do not necessarily indicate a wound infection. B: Thin, serous wound drainage is normal in some cases and does not always indicate infection. D: Decrease in wound size is a positive sign of healing, not infection. In summary, the client with an elevated WBC count should be evaluated for a wound infection due to the potential indication of an inflammatory response.
Question 4 of 5
A nurse cares for a client who reports pain related to eczematous dermatitis. Which nonpharmacologic comfort measure should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Cool, moist compresses. This nonpharmacologic measure helps to soothe eczematous dermatitis by reducing inflammation, itching, and discomfort. Cool compresses provide relief by constricting blood vessels and reducing swelling. Moist compresses help to hydrate the skin and prevent further irritation. Summary: B: Topical corticosteroids are pharmacologic agents used to treat eczematous dermatitis by reducing inflammation. They are not nonpharmacologic comfort measures. C: Heating pad can exacerbate eczematous dermatitis by increasing inflammation and itching. It is not recommended for this condition. D: Tepid bath with cornstarch may provide some relief for eczematous dermatitis, but cool, moist compresses are more effective in soothing the skin and reducing discomfort.
Question 5 of 5
Based on the data of a 36-year-old female with bilateral leg burns with a white and leather-like appearance, how should the nurse categorize this client's injuries?
Correct Answer: C
Rationale: The correct answer is C: Full thickness. This categorization is based on the description of white and leather-like appearance, indicating complete destruction of the epidermis and dermis layers. This type of injury is characteristic of full-thickness burns, also known as third-degree burns. Partial-thickness deep burns (A) involve damage to the dermis but not the full thickness, while partial-thickness superficial burns (B) only affect the epidermis and part of the dermis. Superficial burns (D) are limited to the epidermis only. The specific description of the burns in this case clearly aligns with full-thickness burns, making choice C the most appropriate categorization.