ATI RN
Pediatric Integumentary Questions Questions
Question 1 of 5
A nurse assesses a burn injury and determines that the client sustained a fullthickness fourth-degree burn if which of the following is noted at the site of injury?
Correct Answer: C
Rationale: Fourth-degree burns extend beyond the skin into underlying tissues (muscle, bone) and are characterized by charring due to severe tissue destruction. Wet, shiny surfaces or blisters indicate less severe burns (e.g., second-degree), while a dry surface may suggest third-degree.
Question 2 of 5
A client is diagnosed with herpes zoster (shingles). Which pharmacological therapy would the nurse expect to be prescribed to treat this disorder?
Correct Answer: C
Rationale: Acyclovir is an antiviral used to treat herpes zoster by reducing viral replication. Tetracycline and erythromycin are antibiotics, and indomethacin is an NSAID, none of which target viral infections.
Question 3 of 5
A nurse reviews the health care record of a client diagnosed with herpes zoster. Which finding would the nurse expect to note as characteristic of this disorder?
Correct Answer: D
Rationale: Herpes zoster presents as clustered vesicles along a dermatome due to varicella-zoster virus reactivation. Other options describe different conditions (e.g., measles, Koplik spots, erysipelas).
Question 4 of 5
A nurse notes documentation of a stage 3 pressure ulcer in a client's record. Which of the following would the nurse expect to note on assessment of the client?
Correct Answer: B
Rationale: Stage 3 pressure ulcers involve full-thickness skin loss into the dermis and subcutaneous tissue, but not muscle/bone (stage 4). Stage 1 is redness, stage 2 is partial thickness.
Question 5 of 5
A nurse is caring for a client brought to the emergency room following a burn injury that occurred in the basement of the home. Which initial finding would indicate the presence of inhalation injury?
Correct Answer: B
Rationale: Singed nasal hairs indicate inhalation injury due to airway exposure to heat/smoke. Bloody sputum or absent breath sounds may occur later, and tachycardia is nonspecific.