ATI LPN
NCLEX Questions Integumentary System 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 reactivation of the varicella-zoster virus.
Question 2 of 5
During assessment of the patient's skin, the nurse observes a ring of small, raised, blister-like lesions filled with serous fluid on the patient's right temple. The nurse should document the configuration and distribution of these lesions as
Correct Answer: B
Rationale: The description of the lesions is consistent with the terms annular and grouped. The other terminology would describe lesions with a different appearance.
Question 3 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 4 of 5
A patient presents at the dermatology clinic with suspected herpes simplex. The nurse knows to prepare what diagnostic test for this condition?
Correct Answer: C
Rationale: The Tzanck smear is a test used to examine cells from blistering skin conditions, such as herpes simplex.
Question 5 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.