ATI RN
Integumentary System CPT Questions and Answers Questions
Question 1 of 5
A patient is seen in the wound clinic for a pressure ulcer on his left leg. There is full-thickness tissue loss with the bone exposed. The nurse would correctly document this wound as being in which stage?
Correct Answer: D
Rationale: The correct answer is D: IV. Stage IV pressure ulcers involve full-thickness tissue loss with exposed bone, tendon, or muscle. In this case, the wound on the patient's left leg fits the description of a Stage IV pressure ulcer. Stages I, II, and III do not involve bone exposure and are characterized by various levels of skin and tissue damage. Therefore, the correct choice is D as it aligns with the specific characteristics of the wound described in the scenario.
Question 2 of 5
Which action by a family member of a client with a wound requiring sterile dressings would indicate the need for additional teaching?
Correct Answer: D
Rationale: The correct answer is D because using a back-and-forth motion while cleaning the wound introduces the risk of cross-contamination. Cleaning should be done in a gentle, single-direction motion to prevent spreading microorganisms. Placing the old dressing in a plastic bag (A) is appropriate for disposal. Changing the dressing without wearing a mask (B) is not necessary unless there are specific respiratory concerns. Donning nonsterile gloves before removing the old dressing (C) is incorrect, as sterile gloves should be worn to prevent contamination.
Question 3 of 5
Which condition would a nurse suspect in a client with pitting edema?
Correct Answer: B
Rationale: The correct answer is B: Kidney disease- may be associated with pitting edema. Pitting edema is when pressure on the skin causes an indentation that persists for some time. Kidney disease can lead to fluid retention, causing pitting edema due to impaired kidney function in regulating fluid balance. Shock (A) is characterized by decreased cardiac output, not typically associated with pitting edema. Hypothyroidism (C) can cause nonpitting edema due to accumulation of mucopolysaccharides in the dermis. Severe dehydration (D) leads to turgor loss but not typically pitting edema.
Question 4 of 5
Which recommendation would a nurse include to a client with psoriasis when providing health teaching concerning skin care at home?
Correct Answer: C
Rationale: The correct answer is C. Applying moisturizing lotion several times a day is recommended for clients with psoriasis to help maintain skin hydration and reduce itching and irritation. It helps to soothe and protect the skin barrier. Showering twice a day (choice A) can strip the skin of natural oils, exacerbating dryness. Soaking in hot water (choice B) can worsen inflammation and dry out the skin. Covering affected areas when in contact with others (choice D) may be necessary for infection control but does not address the primary skin care needs of psoriasis.
Question 5 of 5
A radiographer needs to x-ray the urinary bladder. To image the bladder the camera must be focused on which of the following regions?
Correct Answer: C
Rationale: The correct answer is C, the hypogastric region. The urinary bladder is located in the pelvis, specifically in the hypogastric region. To image the bladder accurately, the camera must be focused on this region to capture the bladder's position and shape. The other choices (A, B, D) are incorrect as they do not correspond to the anatomical location of the urinary bladder. Option A is in the upper abdomen, option B is in the lower back, and option D is in the central abdomen, none of which are where the bladder is located. Focusing on the hypogastric region ensures the proper visualization of the urinary bladder in an x-ray image.