ATI RN
Pediatric Integumentary Questions Questions
Question 1 of 5
A nurse is caring for a client brought to the emergency room following a burn injury that occurred in the basement of the home. Which initial finding would indicate the presence of inhalation injury?
Correct Answer: B
Rationale: Singed nasal hairs indicate inhalation injury due to airway exposure to heat/smoke. Bloody sputum or absent breath sounds may occur later, and tachycardia is nonspecific.
Question 2 of 5
The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?
Correct Answer: A
Rationale: Circumferential burns can cause compartment syndrome, impairing circulation; assessing peripheral pulses is critical to detect vascular compromise early.
Question 3 of 5
A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:
Correct Answer: A
Rationale: A heterograft (xenograft) uses skin from another species (e.g., pig), often as a temporary cover. Cadaver skin is an allograft, and the client's skin is an autograft.
Question 4 of 5
The client suspected of having Stage I of Lyme disease is seen in the health care clinic and is told that the Lyme disease test is positive. The client asks the nurse about the treatment for the disease. The nurse responds to the client, anticipating which of the following to be part of the treatment plan?
Correct Answer: B
Rationale: Stage 1 Lyme disease is treated with a 2-4 week course of oral antibiotics (e.g., doxycycline) to prevent progression. IV therapy is for later stages, and UV light is unrelated.
Question 5 of 5
A clinic nurse provides instructions to a client who will be taking isotretinoin (Accutane) for severe cystic acne. Which statement by the client indicates the need for further instructions?
Correct Answer: D
Rationale: Isotretinoin, a vitamin A derivative, risks toxicity with additional vitamin A supplements; this statement shows misunderstanding. Other effects (triglycerides, dryness) are expected.