ATI RN
Integumentary System of Pediatrics Questions
Question 1 of 5
A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky's sign. Based on this documentation, which of the following would the nurse expect to note?
Correct Answer: D
Rationale: Nikolsky's sign, specific to pemphigus, indicates fragile skin where the epidermis separates with slight friction. Other options describe unrelated signs (e.g., Homan's, Chvostek's, Trousseau's).
Question 2 of 5
A client is in the health care clinic for complaints of pruritus. Following diagnostic studies, it has been determined that there is not a pathophysiological process causing the pruritus. The nurse prepares instructions for the client to assist in reducing the problem and tells the client to:
Correct Answer: C
Rationale: A cool-mist vaporizer adds moisture to dry air, reducing pruritus from environmental dryness, common in winter. Dehumidifiers worsen dryness, high heat dries skin, and moisturizers are beneficial.
Question 3 of 5
A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and lifethreatening dysfunctions have been addressed, the nurse reviews the physician's orders anticipating that which pain medication will be prescribed?
Correct Answer: A
Rationale: Severe burns require potent, rapid analgesia like IV morphine due to intense pain and potential shock. Oral or subcutaneous routes are less effective acutely.
Question 4 of 5
A community health nurse is providing a teaching session to firefighters in a small community regarding care to a victim at the scene of a burn injury. The community health nurse instructs the firefighters that in the event of a tar burn the immediate action would be to:
Correct Answer: A
Rationale: Cooling a tar burn with water solidifies the tar and reduces heat damage, allowing safer removal later. Immediate clothing or tar removal can worsen tissue injury.
Question 5 of 5
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
Correct Answer: B
Rationale: Sutures from a skin biopsy are typically removed after 7-14 days, not 24 hours, indicating a misunderstanding requiring further instruction.