ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
A home health nurse is preparing to begin a series of visits with a client. Based upon the client's condition, the client is expected to require home care visits weekly for the next two months. Which of the following tasks should take place first?
Correct Answer: C
Rationale: Step-by-step rationale for why establishing trust and rapport (choice C) is the correct answer: 1. Establishing trust and rapport is vital in building a therapeutic relationship with the client. 2. Trust is the foundation for effective communication, understanding the client's needs, and ensuring cooperation. 3. By building trust first, the nurse can create a supportive environment for the client's care needs. 4. Setting priorities (choice A), assessing the home environment (choice B), and promoting learning (choice D) all rely on a foundation of trust and rapport. Summary: Establishing trust and rapport is the first crucial step to ensure successful home care visits. Setting priorities, assessing the home environment, and promoting learning can follow once a strong relationship is established.
Question 2 of 5
A client is scheduled for a mammogram. Which of the following might adversely impact the testing?
Correct Answer: A
Rationale: The correct answer is A: The use of deodorant. Deodorant contains metals that can interfere with the imaging process of a mammogram, leading to false results. Other choices (B, C, D) do not directly affect the mammogram imaging process. Makeup and medications may not interfere with the test, and eating breakfast should not impact the mammogram results.
Question 3 of 5
A client reports to the clinic with a painless, ulcerated area on her labia. Based upon your knowledge, what diagnosis do you anticipate?
Correct Answer: B
Rationale: The correct answer is B: Syphilis. This is because syphilis often presents as painless ulcers called chancres, which can appear on the labia. The primary lesion of syphilis is typically firm, round, and non-tender. Herpes simplex II (choice A) presents with painful vesicles, not painless ulcers. Condylomata acuminata (choice C) are genital warts caused by human papillomavirus, not painless ulcers. Gonorrhea (choice D) commonly presents with urethral discharge or vaginal discharge, not painless ulcers.
Question 4 of 5
After educating a caregiver of a home care client, a nurse assesses the caregiver's understanding. Which statement indicates that the caregiver needs additional education?
Correct Answer: B
Rationale: The correct answer is B because massaging a red and tender tailbone with baby oil can worsen the condition by causing further irritation or infection. Step 1: Identify the potential harm - Massaging a red and tender area can aggravate the skin. Step 2: Analyze the situation - Inflamed skin needs gentle care, not friction. Step 3: Apply critical thinking - Providing the wrong intervention can lead to adverse outcomes. Summary: Choices A, C, and D are all appropriate interventions for promoting the client's well-being, while choice B poses a risk of harm.
Question 5 of 5
A nurse assesses a client who presents with an increase in psoriatic lesions. Which question should the nurse ask to identify a possible trigger?
Correct Answer: A
Rationale: Rationale: Option A is correct because stress is a common trigger for psoriasis flare-ups. Stress can weaken the immune system and exacerbate inflammatory skin conditions like psoriasis. Asking about stress levels can help identify a potential trigger. Options B, C, and D are incorrect as they do not directly relate to common triggers for psoriasis. Using public showers, other health problems, or medication changes may not necessarily be immediate triggers for psoriasis flare-ups.