ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?
Correct Answer: B
Rationale: Maintaining a supine position can worsen gas exchange in a client with thoracic burns and smoke inhalation due to reduced lung expansion and potential airway obstruction. Repositioning, suctioning, and humidified oxygen are beneficial for airway management and oxygenation.
Question 2 of 5
A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:
Correct Answer: A
Rationale: Moles with variegated color, irregular borders, or surfaces suggest potential malignancy (e.g., melanoma) per ABCDE criteria, warranting suspicion and further evaluation.
Question 3 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 4 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 5 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.