ATI RN
Pediatric Integumentary NCLEX Quizlet Questions
Question 1 of 5
A nurse reviews the record of a client scheduled for removal of a skin lesion. The record indicates that the lesion is an irregularly shaped, pigmented papule with a blue-toned color. The nurse determines that this description of the lesion is characteristic of:
Correct Answer: A
Rationale: Melanoma often presents as an irregular, pigmented lesion with color variation (e.g., blue), per ABCDE criteria. Basal cell carcinoma is pearly, squamous cell carcinoma is scaly, and actinic keratosis is precancerous and rough.
Question 2 of 5
A nurse is assessing the operative site in a client who underwent a breast reconstruction. The nurse is inspecting the flap and the areola of the nipple and notes that the areola is a deep red color around the edge. The nurse takes which action first?
Correct Answer: D
Rationale: A deep red areola suggests potential circulatory compromise (e.g., venous congestion) in the flap, requiring immediate physician notification to assess viability.
Question 3 of 5
The client who sustained an inhalation injury arrives in the emergency department. On assessment of the client, the nurse notes that the client is very confused and combative. The nurse determines that the client is experiencing:
Correct Answer: C
Rationale: Confusion and combativeness in inhalation injury suggest hypoxia from reduced oxygen delivery (e.g., carbon monoxide poisoning or airway damage). Anxiety, fear, or pain may contribute but are less directly tied to these symptoms.
Question 4 of 5
The nurse preparing to assist the physician to examine the client's skin with a Wood's light would do which of the following?
Correct Answer: B
Rationale: Wood's light examination is noninvasive and painless, using UV light to detect fungal or pigment changes; informing the client reduces anxiety. Consent, shaving, or anesthesia are unnecessary.
Question 5 of 5
The clinic nurse reads the chart of a client that was seen by the physician and notes that the physician has documented that the client has Stage III of Lyme disease. Which clinical manifestation would the nurse expect to note in the client?
Correct Answer: C
Rationale: Stage 3 Lyme disease features chronic arthritis (joint pain) due to persistent infection. Rash is stage 1, cardiac issues stage 2, and paralysis is not typical.