ATI RN
Integumentary System of Pediatrics Questions
Question 1 of 5
A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and lifethreatening dysfunctions have been addressed, the nurse reviews the physician's orders anticipating that which pain medication will be prescribed?
Correct Answer: A
Rationale: Severe burns require potent, rapid analgesia like IV morphine due to intense pain and potential shock. Oral or subcutaneous routes are less effective acutely.
Question 2 of 5
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
Correct Answer: B
Rationale: Sutures from a skin biopsy are typically removed after 7-14 days, not 24 hours, indicating a misunderstanding requiring further instruction.
Question 3 of 5
Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?
Correct Answer: B
Rationale: Stage 2 Lyme disease involves disseminated infection, often with cardiac (e.g., conduction defects) or neurological symptoms. Rash is stage 1, joint issues are stage 3.
Question 4 of 5
The client with acquired immunodeficiency syndrome (AIDS) is suspected of having cutaneous Kaposi's sarcoma. The nurse prepares the client for which test that will confirm the presence of this type of sarcoma?
Correct Answer: C
Rationale: A punch biopsy of the lesion confirms Kaposi's sarcoma by histopathology, identifying vascular tumor cells. Other tests are unrelated to skin lesion diagnosis.
Question 5 of 5
A client sustained full-thickness burns to both hands from scalding water. A sheet graft was surgically applied to the wounds. The nurse tells the client that this type of graft is indicated for which of the following primary purposes?
Correct Answer: B
Rationale: Sheet grafts (ungmeshed autografts) are used on visible areas like hands for superior cosmetic outcomes due to even healing, despite being harder to manage initially.