ATI LPN
Questions for Integumentary System 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: Irregular shape, pigmentation, and blue tone are hallmarks of melanoma per the ABCDE criteria.
Question 2 of 5
The nurse notes all these changes in the skin of a 95-year-old patient who is being admitted to an assisted-living facility. Which change will be of most concern to the nurse?
Correct Answer: A
Rationale: Petechiae are caused by pinpoint hemorrhages and are associated with a variety of serious disorders such as meningitis and coagulopathies. The nurse should contact the patient's health care provider about this finding for further diagnostic follow-up. The other skin changes are associated with aging. Although the other changes also will require ongoing monitoring or intervention by the nurse, they do not indicate a need for urgent action.
Question 3 of 5
A young student comes to the school nurse and shows the nurse a mosquito bite. As the nurse expects, the bite is elevated and has serous fluid contained in the dermis. How would the nurse classify this lesion?
Correct Answer: D
Rationale: A wheal is a primary skin lesion that is elevated and has fluid contained in the dermis. An example of a wheal would be an insect bite or hives.
Question 4 of 5
In patients with extensive burns, edema occurs in both burned and unburned areas because of:
Correct Answer: C
Rationale: Capillary permeability is altered in burns beyond the area of tissue damage, resulting in significant shift of proteins, fluid, and electrolytes resulting in edema(third spacing). Catecholamine-induced vasoconstriction does not produce edema. Decreased glomerular filtration may cause fluid retention, but it is not responsible for the extensive edema seen after burn injury. Loss of integument barrier does not cause edema.
Question 5 of 5
A(An)____________________ often produces a superficial cutaneous injury but may cause cardiopulmonary arrest and transient but severe central nervous system deficits.
Correct Answer: B
Rationale: Tissue damage results from the conversion of electrical energy into heat. Monitor the patient for cardiac dysrhythmias.