ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
A nurse practitioner working in a dermatology clinic finds an open lesion on a patient who is being assessed. What should the nurse do next?
Correct Answer: B
Rationale: If acute open wounds or lesions are found on inspection of the skin, a comprehensive assessment should be made and documented.
Question 2 of 5
A patient is experiencing a fever. What structure should the nurse expect to provide an effective cooling mechanism for the body?
Correct Answer: B
Rationale: Eccrine glands secrete sweat onto the skin surface, which evaporates to cool the body effectively, though it may lead to dehydration if water isn't replaced.
Question 3 of 5
A nurse is caring for a patient who has suffered an unstable thoracolumbar fracture. Which of the following is the priority during nursing care?
Correct Answer: B
Rationale: Patients with an unstable fracture must have their spine in alignment at all times in order to prevent neurologic damage. This is a greater threat, and higher priority, than promoting function and preventing infection, even though these are both valid considerations. Increased ICP is not a high risk.
Question 4 of 5
A patient is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The patient has been placed in traction until his femur can be rodded in surgery. For what early complication should the nurse monitor this patient?
Correct Answer: C
Rationale: Early complications include shock, fat embolism, compartment syndrome, and venous thromboemboli (deep vein thrombosis [DVT], pulmonary embolism [PE]). Infection and CRPS are later complications of fractures.
Question 5 of 5
An older patient is experiencing dry skin that is itchy and burns. Which age-related change should the nurse consider is causing this patient's symptoms?
Correct Answer: A
Rationale: Xerosis, or dry skin, is a common age-related change that causes itching and burning sensations.