ATI RN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A nurse identifies a skin lesion on a client and documents the lesion stating that the lesion is elevated, round, and filled with serum. What is the correct type of lesion that the above definition describes?
Correct Answer: D
Rationale: The correct answer is D: Vesicle. A vesicle is a small elevation of the skin filled with clear fluid (serum). It is also round in shape. A macule (Choice A) is a flat, discolored area. A papule (Choice B) is a small, solid raised bump. A wheal (Choice C) is a raised, red, itchy area caused by a localized allergic reaction. Therefore, based on the description of the lesion being elevated, round, and filled with serum, the correct type of lesion is a vesicle.
Question 2 of 5
Which of the following are goals of fluid resuscitation?
Correct Answer: A
Rationale: Step 1: Fluid resuscitation aims to restore intravascular volume to improve circulation and organ perfusion. Step 2: Intravascular volume restoration helps to maintain blood pressure and tissue oxygenation. Step 3: Weight gain is not the primary goal of fluid resuscitation. Step 4: Fluid resuscitation does not directly reduce bleeding but helps stabilize the patient's condition. Step 5: Normalizing breathing is not a direct goal of fluid resuscitation. Therefore, the correct answer is A, as it aligns with the primary goal of fluid resuscitation.
Question 3 of 5
The nurse is caring for a client following debridement. The nurse is most concerned with which complication?
Correct Answer: D
Rationale: The correct answer is D: Infection. Following debridement, there is an increased risk of infection due to the open wound and potential exposure of underlying tissues. Infection can lead to serious complications such as delayed healing, sepsis, and tissue damage. The nurse must closely monitor for signs of infection like redness, swelling, warmth, and purulent drainage. Incorrect choices: A: Bleeding - While bleeding can occur post-debridement, it is a common and expected complication that can usually be managed with pressure and hemostatic agents. B: Pain control - Pain is also a common post-debridement complication, but can be managed with analgesics and other pain management strategies. C: Loss of fluids - Although fluid loss can occur during debridement, it is not typically a major concern post-procedure as long as the client is adequately hydrated.
Question 4 of 5
The nurse plans care for a patient with a newly diagnosed malignant melanoma based on the knowledge that initial treatment may involve (select all that apply)
Correct Answer: B;C
Rationale: The correct answers are B (Mohs' surgery) and C (Surgical excision). Mohs' surgery is used for precise removal of skin cancer layers, ensuring minimal damage to surrounding healthy tissue. Surgical excision involves removing the entire tumor along with a margin of healthy tissue to prevent cancer spread. Shave biopsy (A) is not ideal for melanoma as it may not provide accurate depth information. Localized radiation (D) is not typically used as initial treatment for melanoma, but rather for advanced cases or as adjuvant therapy.
Question 5 of 5
A patient with a contact dermatitis is treated with calamine lotion. What is the rationale for using this base for a topical preparation?
Correct Answer: C
Rationale: The correct answer is C because calamine lotion contains insoluble powders that form a protective barrier on the skin, helping to soothe and protect irritated skin in contact dermatitis. This barrier prevents further irritation and allows the skin to heal. Choice A is incorrect because calamine lotion is not a suspension of oil and water. Choice B is incorrect as calamine lotion is not an emulsion of oil and water. Choice D is incorrect because calamine lotion does not contain a mixture that causes drying when moisture is absorbed.