ATI LPN
Integumentary System Exam Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to
Correct Answer: A
Rationale: The correct answer is A because the musky, sour body odor observed in the 87-year-old patient likely indicates poor personal hygiene. Therefore, scheduling a nursing assistant to help the patient bathe several times weekly is the most appropriate action to address this issue and promote cleanliness and comfort. This approach ensures proper hygiene practices are maintained, which can help improve the patient's overall well-being and prevent skin infections. Choices B, C, and D are incorrect because teaching the patient to apply moisturizing lotion, obtaining a prescription for a topical antifungal, or asking about skin medications do not directly address the root cause of the musky odor, which is likely due to poor hygiene. These options focus on skincare and treatment for skin conditions, which may not be the primary concern in this case.
Question 5 of 5
A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
Correct Answer: B
Rationale: The correct answer is B: D. Ultraviolet light helps the skin to synthesize vitamin D. When sunlight hits the skin, it triggers a reaction that produces vitamin D. This is important for maintaining healthy bones and immune system function. Choice A: E is incorrect because vitamin E is not synthesized by sunlight. Choice C: A is incorrect because vitamin A is not synthesized by sunlight. Choice D: C is incorrect because vitamin C is not synthesized by sunlight.