ATI RN
Integumentary System Exam Questions Questions
Question 1 of 5
An albino individual lacks the ability to produce
Correct Answer: B
Rationale: The correct answer is B: melanin. Melanin is the pigment responsible for determining the color of the skin, hair, and eyes. Albino individuals lack melanin production, leading to their characteristic lack of pigmentation. Perspiration (A), carotene (C), and hemoglobin (D) are not affected by albinism. Perspiration is produced by sweat glands, carotene is a pigment found in fruits and vegetables, and hemoglobin is a protein in red blood cells responsible for carrying oxygen.
Question 2 of 5
You perform a skin assessment on a new resident in an LTC facility. Which of the following is of most concern?
Correct Answer: D
Rationale: The correct answer is D because an irregular border on a mole can be indicative of melanoma, a type of skin cancer. It is crucial to identify and address any concerning skin lesions promptly to prevent potential complications. A: Numerous striae are common and not typically a cause for immediate concern. B: Thickened and yellow toenails may indicate a fungal infection but are not as concerning as a potential melanoma. C: Silver-colored scaling on elbows and knees may suggest conditions like psoriasis, which are important to address but not as urgent as a suspicious mole.
Question 3 of 5
A client admitted to the ED complains of itching of the trunk and groin. You note the presence of multiple reddened wheals on the chest, back, and groin. Which question is most appropriate to ask next?
Correct Answer: D
Rationale: The most appropriate question to ask next is D: Are you taking any new medications? This is because the symptoms described, itching and reddened wheals, are suggestive of an allergic reaction, which can be caused by medications. By asking about new medications, you can identify potential triggers for the symptoms. Choice A (family history of eczema) is less relevant as the focus should be on the current symptoms and potential triggers. Choice B (sunscreen use) is not as pertinent to the symptoms described. Choice C (stress management) is important for overall health but is not directly related to the current presentation of symptoms.
Question 4 of 5
Which of the following actions helps the nurse assess the skin temperature?
Correct Answer: D
Rationale: The correct answer is D because placing the dorsum of the hand on the surface of the skin allows the nurse to assess the skin temperature accurately. The dorsum of the hand is a more sensitive area for detecting subtle temperature changes compared to the palm. By using the dorsum of the hand, the nurse can feel the skin temperature without altering it. Inspection and palpation (Choice A) may provide information about skin color and texture but not specifically about skin temperature. Detecting moisture with the palmar surface (Choice B) is more related to assessing skin moisture rather than temperature. Grasping the skin (Choice C) may help assess skin turgor but not temperature.
Question 5 of 5
What instruction should the nurse give to an elderly client to reduce the itching that results from dry skin?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.