ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A nurse caring for a client who sustained a high-voltage electrical injury analyzes the client's test results. Which finding would the nurse interpret as increasing the client's risk of developing acute tubular necrosis?
Correct Answer: A
Rationale: Myoglobinuria from muscle damage in electrical injuries can precipitate in renal tubules, causing acute tubular necrosis. Other findings relate to different complications.
Question 2 of 5
A 3-day-old neonate presented with numerous firm, yellow-white, 1-2 mm papules and pustules with a surrounding erythematous flare in several sites of the body surface but the palms and soles were spared. Intralesional contents demonstrated eosinophils in Wright-stained smears and culture was sterile. Of the following, the MOST likely diagnosis is
Correct Answer: B
Rationale: Erythema toxicum is a common benign condition in neonates, presenting with pustules containing eosinophils and a sterile culture, sparing palms and soles, making B correct.
Question 3 of 5
A 3-day-old neonate presented with unvarying red purple hue restricted to left lower limb with atrophic underlying subcutaneous tissue. The lesions become more pronounced during changes in environmental temperature, physical activity, or crying. Of the following, the MOST likely diagnosis is
Correct Answer: B
Rationale: Cutis marmorata telangiectatica congenita (CMTC) presents with persistent reticulated vascular patterns, often unilateral, with atrophy, exacerbated by temperature changes, making B correct.
Question 4 of 5
Evaluate for PHACES in any patient with facial hemangioma involving significant area of face, one of the following is not a feature of PHACES
Correct Answer: D
Rationale: PHACES syndrome includes Posterior fossa, Hemangiomas, Arterial, Cardiac (e.g., coarctation), Eye, and Sternal defects. Ear abnormalities (D) are not part of the acronym.
Question 5 of 5
The Peutz-Jeghers syndrome is characterized by melanotic macules on the lips and mucous membranes and by gastrointestinal (GI) polyposis. Of the following, The MOST constant feature is
Correct Answer: B
Rationale: Buccal mucosal macules are the most constant and characteristic feature of Peutz-Jeghers syndrome, present in nearly all cases, making B correct.