ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
When reading the admission assessment for a patient, the nurse notes that the patient has an excoriated area on the skin of the right forearm. Which nursing action will be included in the plan of care?
Correct Answer: D
Rationale: Excoriated areas should be covered with a dressing to decrease the risk for infection. Application of moisturizer would not help the excoriation and might lead to infection. There is no evidence that the skin is atrophied. Scrubbing the excoriated area would cause further damage.
Question 5 of 5
The outer layer of the epidermis provides the most effective barrier to penetration of the skin by environmental factors. Which of the following is an example of penetration by an environmental factor?
Correct Answer: A
Rationale: The stratum corneum, the outer layer of the epidermis, provides the most effective barrier to both epidermal water loss and penetration of environmental factors, such as chemicals, microbes, insect bites, and other trauma.