ATI RN
Integumentary System Exam Questions Questions
Question 1 of 5
A nurse is providing information to clients in a dermatologist’s office about prevention of skin cancer. Which of the following is the most important prevention measure when teaching a client who frequents a swimming pool?
Correct Answer: B
Rationale: The correct answer is B: Use a sunscreen with an SPF of at least 15 and reapply every 2 hours. Sunscreen is crucial in preventing skin cancer by protecting the skin from harmful UV rays. The SPF of 15 or higher provides adequate protection. Reapplying every 2 hours ensures continuous protection. A: Wearing a hat with a wide brim is important but not as effective as sunscreen in preventing skin cancer. C: Using a lip balm with sunscreen is beneficial, but protecting larger areas of the skin with sunscreen is more important. D: Staying in the shade and swimming after 2:00 p.m. may reduce sun exposure, but sunscreen is still necessary for comprehensive protection.
Question 2 of 5
Priority Decision: A 46-year-old African American patient is scheduled to have a basal cell carcinoma on his cheek excised in the health care provider’s office. What factor is most important for the nurse to obtain in the patient's history?
Correct Answer: C
Rationale: The correct answer is C: Prior treatments for the lesion. This is important to determine the effectiveness of previous treatments and any potential complications. It helps guide the current treatment plan and avoid any adverse reactions. A: Protected sun exposure is not the most important factor as the focus is on the lesion and its treatment, not general sun exposure. B: Radiation treatment for acne is not relevant to the current situation of excising a basal cell carcinoma. D: Exposure to harsh irritants such as ammonia is not directly related to the management of the basal cell carcinoma lesion.
Question 3 of 5
A nurse caring for a disheveled patient with poor hygiene observes that the patient has small red lesions flush with the skin on the head and body. The patient complains of severe itching at the sites. For what should the nurse further assess the patient?
Correct Answer: D
Rationale: The correct answer is D because the patient's symptoms of small red lesions and severe itching are indicative of scabies infestation. Scabies is caused by the Sarcoptes scabiei mite, which burrows into the skin to lay eggs, leading to the characteristic burrows in the interdigital webs. Assessing for burrows is crucial for confirming a scabies diagnosis. Choice A is incorrect because nits on head hair are characteristic of head lice infestation, not scabies. Choice B is incorrect as sexually transmitted diseases typically present with different symptoms. Choice C is incorrect as ticks do not cause burrows and are not associated with scabies infestation.
Question 4 of 5
Which skin condition would be treated with laser surgery?
Correct Answer: D
Rationale: The correct answer is D because laser surgery is commonly used for fine wrinkle reduction or facial lesion removal. Laser treatments target specific skin issues like wrinkles or lesions by resurfacing the skin or removing unwanted tissue. A - Preauricular lesion: Laser surgery is not typically used to treat lesions in this area. B - Redundant soft tissue conditions: Laser surgery is not the primary treatment for this condition. C - Obesity with subcutaneous fat accumulation: Laser surgery is not used to treat obesity or fat accumulation. In summary, laser surgery is specifically effective for fine wrinkle reduction or facial lesion removal due to its precision and targeted approach.
Question 5 of 5
Appropriate treatment for a patient with cellulitis includes:
Correct Answer: B
Rationale: The correct answer is B: Antibiotics, such as cephalexin, and over-the-counter analgesics. Antibiotics are essential for treating cellulitis, as the condition is usually caused by a bacterial infection. Cephalexin is commonly used due to its effectiveness against the pathogens involved. Over-the-counter analgesics help manage pain and inflammation associated with cellulitis. A: Petrolatum and vitamins A and D ointment do not address the bacterial infection causing cellulitis and do not provide the necessary treatment. C: Weight-bearing exercises and diuretics are not appropriate for treating cellulitis, as they do not target the underlying infection. D: Wet to dry dressings and steroids are not recommended for cellulitis treatment as they do not address the bacterial infection and may even worsen the condition.