ATI RN
Pediatric Integumentary Questions Questions
Question 1 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness deep burn. Based on this determination, which finding did the nurse note?
Correct Answer: B
Rationale: A partial-thickness deep burn (deep second-degree) extends into the dermis, often appearing dry or waxy due to deeper tissue damage, unlike the wet, weeping surface of superficial burns. Charring and no sensation suggest full-thickness burns.
Question 2 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 3 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 4 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.
Question 5 of 5
A community health nurse has provided fire safety instructions to a group of individuals who are part of a disaster response team. Which statement by a group member indicates a need for further instructions?
Correct Answer: D
Rationale: Standing allows flames to rise and spread to the head/face; 'stop, drop, and roll' or smothering with a blanket is correct. Water is also appropriate for most fires.