ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A rehabilitation nurse is working with a patient who has had a below-the-knee amputation. The nurse knows the importance of the patient's active participation in self-care. In order to determine the patient's ability to be an active participant in self-care, the nurse should prioritize assessment of what variable?
Correct Answer: A
Rationale: The correct answer is A: The patient's attitude. This is because attitude plays a crucial role in determining a patient's willingness and motivation to actively participate in their self-care post-amputation. A positive attitude can lead to better adherence to rehabilitation plans and faster recovery. Assessing the patient's attitude allows the nurse to gauge their mindset, motivation, and emotional readiness, which are essential for successful rehabilitation. Summary: - B: The patient's learning style: While important for education and training, it is not as critical as attitude for active participation in self-care. - C: The patient's nutritional status: While important for overall health, it is not directly related to the patient's ability to actively participate in self-care. - D: The patient's presurgical level of function: While useful information, it does not determine the patient's current mindset and willingness to engage in self-care activities post-amputation.
Question 5 of 5
The nurse instructs a patient on care required after a punch biopsy. Which patient statement indicates that teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B because changing the bandage daily helps prevent infection and promotes wound healing. This statement also demonstrates understanding of proper post-biopsy care. Choice A is incorrect as showering is typically allowed after a punch biopsy. Choice C is incorrect as some blood on the dressing is normal post-biopsy. Choice D is incorrect as it takes time for the biopsy site to heal, and it's not uncommon for it to take longer than a few days.