ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?
Correct Answer: A
Rationale: A partial-thickness superficial burn (first-degree) affects only the epidermis, resulting in redness and possibly a wet, shiny surface if minor blistering occurs. Deeper burns (dry surface, charring, no sensation) indicate full-thickness or greater severity.
Question 2 of 5
A client is seen in the health care clinic and the physician suspects herpes zoster. The nurse prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?
Correct Answer: C
Rationale: Herpes zoster is confirmed via viral culture or PCR from lesion fluid, requiring a swab and tube. Biopsy is invasive, Wood's light detects fungal infections, and patch tests assess allergies.
Question 3 of 5
A nurse is reviewing the nursing care plan for a client for whom a stage 4 decubiti ulcer has been documented. Which of the following would the nurse expect to note on assessment of the client?
Correct Answer: D
Rationale: Stage 4 pressure ulcers involve full-thickness loss extending into muscle, bone, or supporting structures. Earlier stages involve redness (1), partial loss (2), or deeper tissue damage (3).
Question 4 of 5
A client is seen in the health care clinic and a biopsy is performed on a skin lesion that the physician suspects malignant melanoma. The nurse prepares a plan of care for the client based on which characteristics of this type of skin cancer?
Correct Answer: A
Rationale: Melanoma is aggressive, metastasizes rapidly, and requires aggressive treatment. Basal cell carcinoma is common and slow-growing, not melanoma.
Question 5 of 5
A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:
Correct Answer: D
Rationale: Red-tan scaly plaques are characteristic of actinic keratoses, precancerous lesions from sun exposure. Seborrhea is oily, xerosis is dry skin, and pruritus is itching.