ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A nurse cares for a client who reports pain related to eczematous dermatitis. Which nonpharmacologic comfort measure should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Cool, moist compresses. This nonpharmacologic measure helps to soothe eczematous dermatitis by reducing inflammation, itching, and discomfort. Cool compresses provide relief by constricting blood vessels and reducing swelling. Moist compresses help to hydrate the skin and prevent further irritation. Summary: B: Topical corticosteroids are pharmacologic agents used to treat eczematous dermatitis by reducing inflammation. They are not nonpharmacologic comfort measures. C: Heating pad can exacerbate eczematous dermatitis by increasing inflammation and itching. It is not recommended for this condition. D: Tepid bath with cornstarch may provide some relief for eczematous dermatitis, but cool, moist compresses are more effective in soothing the skin and reducing discomfort.
Question 2 of 5
Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?
Correct Answer: D
Rationale: The correct answer is D because staying out of the sun between 10 AM and 2 PM reduces exposure to the strongest UV rays, decreasing the risk of skin damage. A is incorrect as SPF should be at least 30. B is wrong as water-resistant sunscreens require reapplication after swimming. C is incorrect as increasing sun exposure can lead to more skin damage. In summary, option D is the most effective in reducing sun damage risk compared to the other choices.
Question 3 of 5
A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Ask the patient to describe the impact of psoriasis on quality of life. This is the first action the nurse should take to understand the patient's perspective, feelings, and how psoriasis is affecting their daily life. By doing so, the nurse can assess the severity of the social withdrawal and emotional impact, which can guide further interventions. Choice A is incorrect because enrolling in a worker-retraining program does not address the immediate social withdrawal and emotional impact due to psoriasis. Choice B is incorrect as encouraging the patient to volunteer for community projects may not be suitable or effective in addressing the patient's current emotional distress. Choice C is incorrect because suggesting cosmetics to cover the lesions only focuses on the physical appearance and does not address the underlying emotional and social issues.
Question 4 of 5
The nurse and an unlicensed assistive personnel (UAP) on a medical floor are caring for clients who are elderly and immobile. Which action by the UAP warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B because turning immobile clients every two hours is crucial for preventing pressure ulcers. The UAP asking for a meal break before turning the clients neglects their safety and well-being. Choice A is incorrect because elevating the head of the bed for a client who can feed themselves is appropriate. Choice C is incorrect as restocking unsterile gloves is not an urgent issue. Choice D is incorrect because mixing Thick-It into water for a client with swallowing difficulties is within the UAP's scope of practice.
Question 5 of 5
Which intervention should be included in the care plan for a client with acute pain and itching secondary to bacterial skin lesions?
Correct Answer: B
Rationale: The correct answer is B: Maintain a cool environment. This is the most appropriate intervention for a client with acute pain and itching from bacterial skin lesions. Cooling the environment helps alleviate discomfort by reducing inflammation and itching. Keeping humidity low (choice A) may exacerbate dryness and itching. Using mild soap (choice C) is important for skin care but does not directly address pain and itching from bacterial lesions. Applying skin lotion (choice D) may provide temporary relief but does not address the root cause of the symptoms. Maintaining a cool environment is the most effective intervention to provide immediate comfort and promote healing for the client.