ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A nurse is working with a patient who has a diagnosis of Cushing syndrome. When completing a physical assessment, the nurse should specifically observe for what integumentary manifestation?
Correct Answer: D
Rationale: The correct answer is D: Hirsutism. In Cushing syndrome, there is excessive production of cortisol which can lead to hirsutism, or abnormal hair growth in women. This is due to the hormonal imbalance caused by the condition. Alopecia (choice A) is not typically associated with Cushing syndrome. Yellowish skin tone (choice B) is more indicative of jaundice or liver problems, not specifically related to Cushing syndrome. Patchy, bronze pigmentation (choice C) is seen in Addison's disease, not Cushing syndrome. Hirsutism is a common manifestation of Cushing syndrome due to the excess cortisol stimulating hair growth, making it the correct choice.
Question 2 of 5
The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment. A primary nursing diagnosis is:
Correct Answer: B
Rationale: The correct answer is B: body image disturbance. Skin grafting for burn wound treatment can greatly impact a patient's body image due to scarring and changes in appearance. This can lead to psychological distress and affect the patient's self-esteem and social interactions. Addressing body image disturbance is crucial for the patient's emotional well-being and overall recovery. Incorrect choices: A: altered nutrition, less than body requirements - While nutrition is important for wound healing, it is not the primary concern in this case. C: decreased cardiac output - This choice is not directly related to skin grafting and burn wound treatment. D: fluid volume deficit - Though fluid balance is important post-surgery, it is not the primary nursing diagnosis in this scenario.
Question 3 of 5
After a health interview the nurse is concerned that a patient might develop vitamin D deficiency. What information did the nurse use to come to this conclusion?
Correct Answer: C
Rationale: The correct answer is C because spending no time outdoors in the sun can lead to vitamin D deficiency since sunlight is a primary source of vitamin D production in the body. Choice A is incorrect because spending time in the sun can actually help with vitamin D production. Choice B is incorrect because using emollient lotion does not directly impact vitamin D levels. Choice D is also incorrect as restricting caffeinated beverages is not related to vitamin D deficiency. In summary, the lack of sun exposure in choice C is the main reason for the concern of vitamin D deficiency in this scenario.
Question 4 of 5
A nurse is preparing to discharge an emergency department patient who has been fitted with a sling to support her arm after a clavicle fracture. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D because using the arm for light activities within the range of motion helps prevent stiffness and muscle atrophy. It promotes blood circulation and aids in the healing process without putting excessive strain on the fracture site. Explanation: - Choice A: Elevating the arm above the shoulder could increase swelling and impede circulation, leading to complications. - Choice B: Immobilizing the elbow, wrist, and fingers can result in joint stiffness and muscle weakness, hindering recovery. - Choice C: Engaging in active range of motion with the affected arm can be too strenuous and may disrupt the healing process by causing further damage to the fracture site.
Question 5 of 5
A rehabilitation nurse is working with a patient who has had a below-the-knee amputation. The nurse knows the importance of the patient's active participation in self-care. In order to determine the patient's ability to be an active participant in self-care, the nurse should prioritize assessment of what variable?
Correct Answer: A
Rationale: The correct answer is A: The patient's attitude. This is because attitude plays a crucial role in determining a patient's willingness and motivation to actively participate in their self-care post-amputation. A positive attitude can lead to better adherence to rehabilitation plans and faster recovery. Assessing the patient's attitude allows the nurse to gauge their mindset, motivation, and emotional readiness, which are essential for successful rehabilitation. Summary: - B: The patient's learning style: While important for education and training, it is not as critical as attitude for active participation in self-care. - C: The patient's nutritional status: While important for overall health, it is not directly related to the patient's ability to actively participate in self-care. - D: The patient's presurgical level of function: While useful information, it does not determine the patient's current mindset and willingness to engage in self-care activities post-amputation.