ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
A patient who has had an amputation is being cared for by a multidisciplinary rehabilitation team. What is the primary goal of this multidisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Promote the patient's highest possible level of function. The primary goal of a multidisciplinary rehabilitation team caring for a patient who has had an amputation is to help the patient achieve their maximum functional ability and independence. This goal involves various specialists working together to provide comprehensive care tailored to the patient's specific needs. Maximizing efficiency of care (A) is important but not the primary goal. Ensuring holistic healthcare (B) is valuable but not the primary focus. Facilitating adjustment to a new body image (C) is important, but the primary goal is to promote the patient's functional abilities.
Question 2 of 5
The nurse is evaluating nutritional teaching provided to a patient recovering from 24% total body surface area burns. Which information indicates that teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B: Serum protein level 7.1 g/dL. This indicates effective teaching as it shows an improvement in the patient's nutritional status. Serum protein levels reflect protein intake and liver function, which are crucial for healing after burns. Weight loss (A) is not indicative of nutritional improvement in this context. Low serum albumin level (C) suggests protein malnutrition, not improvement. Choice D is not a valid option.
Question 3 of 5
A patient has a blood-filled blister surrounded by tissue that is painful, mushy, and warm to the touch. How should the nurse classify this skin presentation?
Correct Answer: D
Rationale: The correct answer is D: Suspected tissue injury. This classification is appropriate because the skin presentation described does not meet the specific criteria for Stage III or IV ulcers, which involve skin breakdown and tissue damage extending into deeper layers. The term "unstageable" is used when the wound bed is obscured, usually by eschar or slough, making it impossible to determine the depth of tissue damage. In this case, the presence of a blood-filled blister and pain suggests a superficial injury without visible tissue loss, indicating a suspected tissue injury rather than a defined stage of ulcer development. This classification allows for further assessment and monitoring to determine the extent of tissue damage.
Question 4 of 5
Hair, epidermis, and nails are all made up of:
Correct Answer: A
Rationale: The correct answer is A: keratin. Keratin is a fibrous structural protein that is the main component of hair, epidermis, and nails. It provides strength, durability, and protection to these structures. Vitamin D (choice B) is important for bone health and is not a component of hair, epidermis, or nails. Adipose tissue (choice C) is fat tissue and is not a component of these structures. Collagen (choice D) is a different type of protein found in connective tissues such as tendons and ligaments, not in hair, epidermis, or nails.
Question 5 of 5
Dr. Martinez prescribes an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond?
Correct Answer: B
Rationale: The correct answer is B because applying an emollient after a bath or shower helps seal in moisture and prevents evaporation of water from the hydrated epidermis, promoting hydration and maintaining skin integrity. This is crucial for managing pruritus. Summary: A: While emollients can help reduce skin irritation, the main purpose of applying it after a bath is to prevent water loss. C: Emollients do not enhance skin absorption of medication. D: Cooling the skin is not the primary reason for applying emollients after a bath.