ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when administering this drug?
Correct Answer: C
Rationale: The correct answer is C: Use gloves. When administering acyclovir for herpes zoster, the nurse should wear gloves to prevent the spread of the virus and protect themselves from potential exposure. This is important for infection control and to maintain proper hygiene practices. Applying lightly (A) could increase the risk of spreading the virus. Wrapping in warm wet dressings (B) is not recommended as it can create a warm and moist environment, which may exacerbate the infection. Rubbing the medication into lesions (D) is not necessary and could cause discomfort to the patient. Using gloves ensures safety for both the patient and the healthcare provider.
Question 2 of 5
A patient with psoriasis is placed on PUVA therapy. What factors compose this therapy?
Correct Answer: C
Rationale: The correct answer is C - Artificial ultraviolet (UV) rays and a coal tar product. PUVA therapy involves combining a photosensitizing medication (psoralen) with exposure to UVA light. The psoralen makes the skin more sensitive to UVA light, which helps to treat psoriasis. Choice A is incorrect because corticosteroids are not typically used in PUVA therapy. Choice B is incorrect because X-rays and methotrexate are not components of PUVA therapy. Choice D is incorrect because laser treatment and antimetabolites are not part of PUVA therapy. In summary, PUVA therapy consists of artificial UV rays and a coal tar product to treat psoriasis effectively.
Question 3 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes stasis dermatitis?
Correct Answer: B
Rationale: The correct answer is B: Erythema and pruritus with scaling associated with phlebitis. Stasis dermatitis is caused by venous insufficiency leading to pooling of blood in the lower extremities. This results in inflammation of the skin, presenting as erythema (redness), pruritus (itching), and scaling. The association with phlebitis indicates involvement of the veins. Choices A, C, and D do not accurately describe stasis dermatitis. Choice A refers to contact dermatitis, choice C describes seborrheic dermatitis, and choice D is more characteristic of allergic contact dermatitis.
Question 4 of 5
A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:
Correct Answer: A
Rationale: The correct answer is A: suspicious. Moles with variegated color, irregular borders, and/or an irregular surface are signs of potential melanoma, a type of skin cancer. These features indicate an abnormal and potentially dangerous growth that requires further evaluation. Other choices are incorrect as B: normal, C: common, and D: benign do not accurately reflect the concerning characteristics described in the question. It is crucial for the nurse to recognize these warning signs to ensure timely detection and appropriate management of skin cancer.
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: The correct answer is B because sutures are typically removed 7-14 days post skin biopsy, not the next day. A: Monitoring wound drainage is important for infection. C: Using antibiotic ointment promotes wound healing. D: Keeping the dressing dry helps prevent infection. B's timing is incorrect, indicating a need for further instructions.