ATI RN
Pediatric Integumentary Questions Questions
Question 1 of 5
A nurse reviews the health care record of a client diagnosed with herpes zoster. Which finding would the nurse expect to note as characteristic of this disorder?
Correct Answer: D
Rationale: Herpes zoster presents as clustered vesicles along a dermatome due to varicella-zoster virus reactivation. Other options describe different conditions (e.g., measles, Koplik spots, erysipelas).
Question 2 of 5
A nurse is caring for a client brought to the emergency room following a burn injury that occurred in the basement of the home. Which initial finding would indicate the presence of inhalation injury?
Correct Answer: B
Rationale: Singed nasal hairs indicate inhalation injury due to airway exposure to heat/smoke. Bloody sputum or absent breath sounds may occur later, and tachycardia is nonspecific.
Question 3 of 5
A community health nurse has provided fire safety instructions to a group of individuals who are part of a disaster response team. Which statement by a group member indicates a need for further instructions?
Correct Answer: D
Rationale: Standing allows flames to rise and spread to the head/face; 'stop, drop, and roll' or smothering with a blanket is correct. Water is also appropriate for most fires.
Question 4 of 5
The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?
Correct Answer: A
Rationale: Circumferential burns can cause compartment syndrome, impairing circulation; assessing peripheral pulses is critical to detect vascular compromise early.
Question 5 of 5
A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:
Correct Answer: A
Rationale: A heterograft (xenograft) uses skin from another species (e.g., pig), often as a temporary cover. Cadaver skin is an allograft, and the client's skin is an autograft.