ATI LPN
Integumentary System Questions Questions
Question 1 of 5
A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patients health history, the nurse should identify what comorbidity as increasing the patients vulnerability to skin infections?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Patients with diabetes are more susceptible to skin infections due to compromised immune function, poor circulation, and nerve damage. This increases the risk of developing conditions like bacterial cellulitis. Chronic obstructive pulmonary disease (A) affects the lungs, not directly related to skin infections. Rheumatoid arthritis (B) is an autoimmune condition that primarily affects the joints. Gout (C) is a form of arthritis caused by excess uric acid, not directly linked to increased vulnerability to skin infections.
Question 2 of 5
The nurse is documenting findings from collecting data with a patient. What term should the nurse use to document transverse depressions in the nails?
Correct Answer: B
Rationale: The correct term for transverse depressions in the nails is Beau's lines. Beau's lines are caused by a temporary disruption in nail growth due to illness or stress. Paronychia is an infection around the nail bed, Koilonychias is spoon-shaped nails associated with iron deficiency anemia, and Splinter hemorrhages are tiny blood clots under the nails. Beau's lines specifically describe transverse depressions, making it the most appropriate term in this context.
Question 3 of 5
A patient with a simple arm fracture is receiving discharge education from the nurse. What would the nurse instruct the patient to do?
Correct Answer: B
Rationale: The correct answer is B: Engage in exercises that strengthen the unaffected muscles. This instruction is important for maintaining overall muscle strength and preventing muscle atrophy in the unaffected arm. Strengthening exercises can also aid in the recovery process and help prevent future injuries. A: Elevating the affected extremity to shoulder level is not necessary for a simple arm fracture and may not contribute significantly to the healing process. C: Applying topical anesthetics is not typically part of discharge instructions for a simple arm fracture and may not be relevant to the patient's care. D: Avoiding analgesics is not recommended as pain management is important for the patient's comfort and well-being during the healing process.
Question 4 of 5
An older adult patient has fallen in her home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck. When planning assessments during the patient's presurgical care, the nurse should be aware of the patient's heightened risk of what complication?
Correct Answer: B
Rationale: The correct answer is B: Avascular necrosis. A fractured femoral neck can disrupt blood flow to the head of the femur, leading to avascular necrosis (bone death). This complication can result in further pain and disability. Osteomyelitis (A) is an infection of the bone, which is not directly linked to a fractured femoral neck. Phantom pain (C) is pain perceived in a body part that is no longer there, typically in amputees, not related to a fractured hip. Septicemia (D) is a serious bloodstream infection, which may be a complication of surgery or prolonged hospitalization, but not directly related to a fractured hip.
Question 5 of 5
The nurse notes that an older patient complains of always feeling cold. Which age-related change to the skin could be causing this in the patient?
Correct Answer: B
Rationale: The correct answer is B: Decreased subcutaneous tissue. As people age, they tend to lose subcutaneous fat, which acts as insulation. This loss of fat can result in feeling colder more easily. Fewer protein stores (A) and reduced levels of immune cells (C) are not directly related to feeling cold. Slower blood flow to the skin layers (D) can contribute to temperature regulation issues but is not the primary reason for feeling cold in older adults.