ATI LPN
Integumentary System Test Questions Questions
Question 1 of 5
A patient in the dermatology clinic is scheduled for removal of a 10-mm, multicolored, irregular mole from the upper back. The nurse will plan to teach the patient about a(an)
Correct Answer: C
Rationale: An incisional biopsy would remove the entire mole and the tissue borders. The appearance of the mole indicates that it may be malignant; a shave biopsy would not remove the entire mole. The mole is too large to be removed with punch biopsy. Excisional biopsies are done for smaller lesions and where a good cosmetic effect is desired, such as on the face.
Question 2 of 5
A dermatologist has asked the nurse to assist with examination of a patients skin using a Woods light. This test will allow the physician to assess for which of the following?
Correct Answer: B
Rationale: Woods light makes it possible to differentiate epidermal from dermal lesions and hypopigmented and hyperpigmented lesions from normal skin.
Question 3 of 5
The nurse is planning care to meet the patient's pain management needs related to burn treatment. The patient is alert, oriented, and follows commands. The pain is worse during the day when various treatments are scheduled. Which statement to the physician best indicates the nurse's knowledge of pain management for this patient?
Correct Answer: D
Rationale: Patient-controlled analgesia allows the patient with burns to self-medicate for pain, thus providing independence with pain management strategies. Nonpharmacological pain strategies may provide helpful adjuncts to pain interventions. Scheduled pain medications and anxiolytic agents, although helpful, do not put the control of pain management with the patient.
Question 4 of 5
The nurse is caring for a patient in a wound clinic who is treated with plastic wrap dressings. Which finding indicates a complication related to prolonged application of the dressings?
Correct Answer: B
Rationale: Prolonged use of occlusive dressings can cause folliculitis, maceration, or skin atrophy, but folliculitis is a key infection-related complication.
Question 5 of 5
A school nurse is assessing a student who was kicked in the shin during a soccer game. The area of the injury has become swollen and discolored. The triage nurse recognizes that the patient has likely sustained what?
Correct Answer: C
Rationale: A contusion is a soft-tissue injury that results in bleeding into soft tissues, creating a hematoma and ecchymosis. A sprain is an injury to ligaments caused by wrenching or twisting. A strain is a muscle pull from overuse, overstretching, or excessive stress. A dislocation is a condition in which the articular surfaces of the bones forming a joint are no longer in anatomic contact. Because the injury is not at the site of a joint, the patient has not experienced a sprain, strain, or dislocation.