ATI LPN
Questions on the Integumentary System Questions
Question 1 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.
Question 2 of 5
When taking the health history of an older adult, the nurse discovers that the patient has worked in the landscaping business for 40 years. Which clinical manifestation should the nurse teach the patient to self-assess for?
Correct Answer: C
Rationale: Rationale: C: Erythema is the correct answer because prolonged sun exposure in landscaping can lead to skin redness. Sunburn and skin damage are common in outdoor workers. A: Vitiligo is an autoimmune condition causing skin depigmentation, not directly related to sun exposure. B: Alopecia is hair loss, not a direct result of sun exposure. D: Actinic keratosis is a precancerous skin lesion due to sun exposure, but erythema is more common in this scenario.
Question 3 of 5
The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The correct answer is D: Cleaning the skin with antimicrobial soap. This task can be safely delegated to UAP as it does not involve any invasive or complex procedures. It is within the scope of practice for UAP and is an important aspect of managing furunculosis to prevent infection spread. Applying antibiotic cream (choice A) involves assessing the skin and determining the appropriate treatment, which requires nursing judgment. Obtaining cultures (choice B) requires specific training and knowledge to collect samples correctly. Evaluating personal hygiene (choice C) involves assessing and analyzing the patient's hygiene practices, which requires nursing assessment skills. Cleaning the skin with antimicrobial soap is a straightforward task that UAP can perform under the supervision of a nurse.
Question 4 of 5
The paraplegic client is being admitted to a medical unit from home with a stage IV pressure ulcer over the right ischium. Which assessment tool should be completed on admission to the hospital?
Correct Answer: A
Rationale: The correct answer is A: Complete the Braden Scale. This tool assesses the risk of pressure ulcers by evaluating factors such as sensory perception, moisture, activity, mobility, nutrition, and friction/shear. It is crucial to complete this assessment on admission to determine the client's risk level and develop appropriate prevention strategies. B: Monitoring the client on a Glasgow Coma Scale is not relevant in this scenario as it assesses the level of consciousness, not pressure ulcer risk. C: Assessing for Babinski's sign is a neurological assessment and not related to pressure ulcer risk assessment. D: Initiating a Brudzinski flow sheet is not a recognized tool for pressure ulcer risk assessment and is not relevant in this context.
Question 5 of 5
The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, 'How can I prevent getting impetigo?' Which statement would be the most appropriate response?
Correct Answer: B
Rationale: Correct Answer: B: Do not touch any affected areas without gloves. Rationale: 1. Impetigo is a highly contagious skin infection caused by bacteria. 2. Touching affected areas without gloves can lead to the spread of bacteria. 3. Using gloves creates a barrier, reducing the risk of transmission. 4. Handwashing (Choice A) is essential but not specific to preventing impetigo. 5. Applying antibiotic to hands (Choice C) is unnecessary and ineffective. 6. Keeping the child isolated (Choice D) addresses containment, not personal prevention.