ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
An older patient has areas of psoriasis on the arms and legs. What should the nurse expect to be prescribed for this patient?
Correct Answer: A
Rationale: The correct answer is A: Topical steroids. Topical steroids are commonly prescribed for psoriasis to reduce inflammation and itching. They help to control the symptoms and improve the appearance of the skin. Other choices are incorrect: B (Topical Benadryl) is an antihistamine and not typically used for psoriasis. C (Lidocaine patches) are used for pain relief, not for treating psoriasis. D (Systemic antibiotics) are not indicated for psoriasis unless there is a secondary bacterial infection.
Question 2 of 5
A patient has a secondary closure surgical wound. What was most likely used to close this wound?
Correct Answer: D
Rationale: The correct answer is D: Sutures. Sutures are commonly used in secondary closure surgical wounds to approximate the skin edges and promote proper healing. They provide secure closure, reduce the risk of infection, and allow for precise alignment of the wound edges. A: Tape is not typically used for secondary closure of surgical wounds as it may not provide enough support and security for proper wound healing. B: Grafts are used for transplanting tissue and are not typically used for closing surgical wounds. C: Staples are commonly used for primary closure of wounds, but they may not be as suitable for secondary closure as they can cause more tissue trauma and may not provide as precise alignment as sutures.
Question 3 of 5
Some people only 'burn' when exposed to the sun. The reason they do not tan is that:
Correct Answer: B
Rationale: The correct answer is B because melanocytes are responsible for producing melanin, the pigment that gives skin its color. If melanocytes are inactive, the skin cannot produce enough melanin to tan, resulting in burning instead. Choice A is incorrect because everyone has the gene for tanning. Choice C is incorrect because keratinocytes are not directly involved in the tanning process. Therefore, the only logical explanation for not tanning and only burning when exposed to the sun is due to inactive melanocytes.
Question 4 of 5
A male client who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, the nurse should:
Correct Answer: A
Rationale: The correct answer is A - Turn him frequently. Turning the client frequently helps redistribute pressure and prevents pressure ulcers. This action relieves pressure on specific areas of the body, promoting circulation and reducing the risk of tissue damage. Applying moisturizing lotion (choice B) may help with skin hydration but does not address the root cause of pressure ulcers. Increasing protein intake (choice C) is important for healing but does not directly prevent pressure ulcers. Using a pressure-relieving mattress (choice D) is beneficial, but turning the client is essential for effective pressure ulcer prevention.
Question 5 of 5
During the acute phase of a burn, the nurse in-charge should assess which of the following?
Correct Answer: A
Rationale: Correct Answer: A: Circulatory status Rationale: 1. Assessment of circulatory status is crucial in the acute phase of a burn to monitor for potential shock. 2. Circulatory status helps determine tissue perfusion and oxygenation. 3. Impaired circulation can lead to further complications and affect overall recovery. Summary of Incorrect Choices: B: Pain level - Important but not the priority in the acute phase. Pain management can be addressed after ensuring circulatory stability. C: Nutritional status - Important for overall healing but not the immediate concern in the acute phase. D: Psychological state - Important for long-term recovery but not the priority in the acute phase when physical stability is crucial.