ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?
Correct Answer: D
Rationale: Application of cold packs to the incision after the surgery will help decrease bruising and swelling at the site. Since the Mohs procedure results in complete excision of the lesion, topical fluorouracil is not needed after surgery. After the Mohs procedure the edges of the wound can be left open to heal or the edges can be approximated and sutured together. The suture line can be cleaned with tap water. No debridement with wet-to-dry dressings is indicated.
Question 2 of 5
The nurse participating in a health fair is discussing malignant melanoma with a group of clients. Which information regarding the use of sunscreen is important to include?
Correct Answer: D
Rationale: Higher SPF numbers indicate greater UV protection, reducing melanoma risk.
Question 3 of 5
The 55-year-old client contracted chickenpox from his grandchild. The client had to be hospitalized because of the seriousness of the condition. Which complication is the client at risk for developing secondary to chickenpox?
Correct Answer: B
Rationale: Varicella pneumonia is a serious complication of chickenpox, especially in adults, due to viral spread to the lungs.
Question 4 of 5
The nurse is preparing the plan of care for a client diagnosed with Stevens-Johnson syndrome. Which intervention should the nurse include?
Correct Answer: C
Rationale: Frequent assessment of skin lesions is critical in Stevens-Johnson syndrome due to its rapid progression.
Question 5 of 5
An adult client was burned in an explosion. The burn initially affected the client's entire face (anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both arms. The client's clothes caught on fire, and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso. Using the rule of nines, what would be the extent of the burn injury?
Correct Answer: D
Rationale: Face (4.5%) + upper anterior torso (9%) + lower arms (9%) + posterior head (4.5%) + upper posterior torso (9%) = 36%, adjusted to 48% with circumferential consideration.