ATI LPN
NCLEX Questions Integumentary System Questions
Question 1 of 5
A nurse is providing an educational presentation addressing the topic of Protecting Your Skin. When discussing the anatomy of the skin with this group, the nurse should know that what cells are responsible for producing the pigmentation of the skin?
Correct Answer: D
Rationale: Melanocytes are the special cells of the epidermis that are primarily responsible for producing the pigment melanin.
Question 2 of 5
The nurse is conducting an admission assessment of an 82-year-old patient who sustained a 12% burn from spilling hot coffee on the hand and arm. Which statement is of priority to assist in planning treatment?
Correct Answer: C
Rationale: Many variables influence the outcome of elderly burn patient mortality, including preinjury hydration status, nutrition status, and comorbid diseases, especially heart failure. Assessment questions should include, as a priority, information about the patient's cardiovascular status, including heart failure. Obtaining food or drug allergy information is also important along with other past medical history, including past surgeries. Information on the patient's living arrangements is an important safety consideration for discharge planning.
Question 3 of 5
The nurse is reviewing the function and repair of the skin with a patient recovering from burns. Which protein should the nurse explain as being found in the dermis?
Correct Answer: D
Rationale: Collagen is abundant in the dermis, providing strength and structure, unlike keratin (epidermis) or sebum (lipid).
Question 4 of 5
Radiographs of a boy's upper arm show that the humerus appears to be fractured on one side and slightly bent on the other. This diagnostic result suggests what type of fracture?
Correct Answer: D
Rationale: Greenstick fractures are an incomplete fracture that results in the bone being broken on one side, while the other side is bent. This is not characteristic of an impacted, compound, or compression fracture.
Question 5 of 5
A patient who has undergone a lower limb amputation is preparing to be discharged home. What outcome is necessary prior to discharge?
Correct Answer: A
Rationale: A patient should be able to use assistive devices appropriately and safely prior to discharge. Scar formation will not be complete at the time of hospital discharge. It is anticipated that the patient will require some assistance with ADLs postdischarge. Pain should be well managed, but may or may not be wholly absent.