ATI LPN
Integumentary System Test Questions Questions
Question 1 of 5
A nurse assesses an older client who is scratching and rubbing white ridges on the skin between the fingers and on the wrists. Which action should the nurse take?
Correct Answer: A
Rationale: The client's presentation is most likely scabies, a contagious mite infestation, requiring isolation in a single room.
Question 2 of 5
A nurse cares for a client with burn injuries who is experiencing anxiety and pain. Which nonpharmacologic comfort measure should the nurse implement?
Correct Answer: A
Rationale: Music therapy is a nonpharmacologic measure to reduce anxiety and pain.
Question 3 of 5
A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?
Correct Answer: A
Rationale: Because the appearance of the lesion suggests actinic keratosis or possible squamous cell carcinoma (SCC), the appropriate treatment would be excision and biopsy. Over-the-counter (OTC) corticosteroids, topical antibiotics, and Retin-A would not be used for this lesion.
Question 4 of 5
What is the most effective way for a nurse to help a patient with contact dermatitis decrease pruritus?
Correct Answer: A
Rationale: Cool or tepid baths, cool dressings, and OTC antihistamines all help reduce pruritus and scratching. Adding oil to bath water is not recommended because of the increased risk for falls. The patient should use the towel to pat (not rub) the skin dry. While corticosteroids may be used, cool cloths are a non-pharmacologic, effective first-line option.
Question 5 of 5
The client who is debilitated and has developed multiple pressure ulcers complains to the nurse during a dressing change that he is 'tired of it all.' Which is the nurse's best therapeutic response?
Correct Answer: B
Rationale: Reflecting the client's feelings encourages therapeutic communication and addresses emotional distress.