ATI LPN
Integumentary System Exam Questions Questions
Question 1 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: The correct answer is A: suspicious. Moles with variegated color, irregular borders, and/or an irregular surface are signs of potential melanoma, a type of skin cancer. These features indicate an abnormal and potentially dangerous growth that requires further evaluation. Other choices are incorrect as B: normal, C: common, and D: benign do not accurately reflect the concerning characteristics described in the question. It is crucial for the nurse to recognize these warning signs to ensure timely detection and appropriate management of skin cancer.
Question 2 of 5
When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to
Correct Answer: A
Rationale: The correct answer is A because the musky, sour body odor observed in the 87-year-old patient likely indicates poor personal hygiene. Therefore, scheduling a nursing assistant to help the patient bathe several times weekly is the most appropriate action to address this issue and promote cleanliness and comfort. This approach ensures proper hygiene practices are maintained, which can help improve the patient's overall well-being and prevent skin infections. Choices B, C, and D are incorrect because teaching the patient to apply moisturizing lotion, obtaining a prescription for a topical antifungal, or asking about skin medications do not directly address the root cause of the musky odor, which is likely due to poor hygiene. These options focus on skincare and treatment for skin conditions, which may not be the primary concern in this case.
Question 3 of 5
A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
Correct Answer: B
Rationale: The correct answer is B: D. Ultraviolet light helps the skin to synthesize vitamin D. When sunlight hits the skin, it triggers a reaction that produces vitamin D. This is important for maintaining healthy bones and immune system function. Choice A: E is incorrect because vitamin E is not synthesized by sunlight. Choice C: A is incorrect because vitamin A is not synthesized by sunlight. Choice D: C is incorrect because vitamin C is not synthesized by sunlight.
Question 4 of 5
Assessment of a patients leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?
Correct Answer: B
Rationale: The correct answer is B: Ulcer. An ulcer is a skin lesion characterized by the loss of skin tissue, resulting in an open sore. In this case, the presence of necrotic tissue deeper than the epidermis indicates tissue loss, consistent with an ulcer. A keloid is a raised scar, not an open sore like an ulcer. A fissure is a linear crack in the skin, different from a circular area of tissue loss. An erosion is a superficial loss of skin layers, not as deep as what is described in the scenario. Therefore, the presence of necrotic tissue deeper than the epidermis points towards an ulcer as the correct skin lesion.
Question 5 of 5
Patients with burns may have mesh grafts or sheet grafts. Which of the following sites is most likely to have a sheet graft applied?
Correct Answer: B
Rationale: The correct answer is B: Face. Sheet grafts are typically used on areas where a smooth, even surface is desired, such as the face. Mesh grafts, on the other hand, are often used on areas that need more flexibility and conformity, like the arms and legs. Chest may also require mesh grafts due to its irregular shape. So, face is the most likely site for a sheet graft due to the need for aesthetic outcomes and minimal scarring.