ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus. Why would the nurse use a Woods lamp?
Correct Answer: D
Rationale: Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major fungal pathogen. The use of the diagnostic Woods lamp causes the infected hairs to turn a brilliant blue green.
Question 2 of 5
An 84-year-old patient has had a low-grade fever for 2 days. This morning, the patient complains of burning, tingling hip pain that shoots down the leg. The nurse observes a small group of vesicles on the leg. These findings are consistent with which disorder?
Correct Answer: B
Rationale: Herpes zoster (shingles) begins with vague symptoms of chills and low-grade fever and possibly some gastrointestinal disturbance. Discomfort along the nerve pathway is common. Small groups of vesicles appear on the skin, usually following the nerve pathways.
Question 3 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes atopic dermatitis?
Correct Answer: D
Rationale: Atopic dermatitis involves mast cell histamine release, leading to allergic-type skin reactions.
Question 4 of 5
A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky's sign. Based on this documentation, which of the following would the nurse expect to note?
Correct Answer: D
Rationale: Nikolsky's sign in pemphigus indicates fragile skin where the epidermis separates easily with slight friction.
Question 5 of 5
The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?
Correct Answer: D
Rationale: Keeping patch test sites dry ensures accurate results; readings typically occur at 48 hours and 96 hours, not 2 weeks.