ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A patient with 35% total body surface area burns is in the rehabilitative phase of care. Which approach should be used to reduce the risk of developing contractures?
Correct Answer: A
Rationale: The correct answer is A: Apply splints. Splints help maintain proper positioning of joints to prevent contractures in burn patients. Splints provide support and protect the joints during the healing process. They help to prevent shortening and tightening of muscles and tissues, reducing the risk of contractures. B: Physical therapy two hours a day is not the most effective approach for preventing contractures in burn patients. While physical therapy is important for rehabilitation, excessive duration may not necessarily prevent contractures. C: Passive range of motion exercises are beneficial for maintaining joint flexibility, but they may not provide enough support to prevent contractures in burn patients. D: Occupational therapy one hour every other day focuses on activities of daily living and may not directly address the prevention of contractures.
Question 2 of 5
What are the 4 types of general receptors located in the skin?
Correct Answer: D
Rationale: The correct answer is D because all the choices listed (A, B, and C) are types of general receptors located in the skin. Meissner's corpuscles and Pacinian corpuscles are encapsulated receptors responsible for detecting touch and pressure, while free nerve endings are unencapsulated receptors that respond to pain, temperature, and pressure. Therefore, selecting "All of the above" encompasses all four types of general receptors present in the skin.
Question 3 of 5
A female client with herpes zoster is prescribed acyclovir (Zovirax), 200 mg P.O. every 4 hours while awake. The nurse should inform the client that this drug may cause:
Correct Answer: B
Rationale: The correct answer is B: Diarrhea. Acyclovir is an antiviral medication that can commonly cause gastrointestinal side effects, such as diarrhea. This occurs due to its effect on the digestive system. The other choices, headache (A), nausea (C), and fatigue (D), are less commonly associated with acyclovir. Headache may occur but is not a common side effect. Nausea is less frequent than diarrhea. Fatigue is not a typical side effect of acyclovir. Therefore, the correct answer is B as diarrhea is a more common side effect of acyclovir compared to the other options.
Question 4 of 5
Which of the following individuals is least likely to be at risk of developing psoriasis?
Correct Answer: A
Rationale: The correct answer is A because psoriasis is less common among individuals with darker skin tones, such as African Americans. It is more prevalent in individuals with lighter skin tones. Psoriasis is also associated with genetic factors, so choice B, a Caucasian with family history, is at higher risk. Obesity (choice C) and arthritis (choice D) are risk factors for psoriasis due to their inflammatory nature, making choices C and D less likely to be at least at risk compared to choice A.
Question 5 of 5
The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles) in the male client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Culture of the lesion. A culture of the lesion is the definitive diagnostic test for herpes zoster as it can identify the presence of the varicella-zoster virus. Blood tests may show antibodies but do not confirm the active infection. Skin biopsy is not typically necessary for diagnosis. Visual inspection alone is not sufficient to confirm herpes zoster as it can be similar to other skin conditions.