ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
Based on the documented data of an older adult with a burn wound showing signs of local infection, which action should the nurse take next?
Correct Answer: C
Rationale: Signs of local infection in an older adult require cultures to assess for systemic infection.
Question 2 of 5
The nurse working in the dermatology clinic assesses a young adult female patient who is taking isotretinoin (Accutane) to treat severe cystic acne. Which assessment finding is most indicative of a need for further questioning of the patient?
Correct Answer: A
Rationale: Because isotretinoin is teratogenic, contraception is required for women who are using this medication. The nurse will need to determine whether the patient is using other birth control methods. More information about the other patient data may also be needed, but the other data do not indicate contraindications to isotretinoin use.
Question 3 of 5
The nurse is caring for clients on a medical unit. After the shift report, which client should the nurse assess first?
Correct Answer: C
Rationale: A fever of 102.3°F in a client with pressure ulcers suggests possible infection, requiring urgent assessment.
Question 4 of 5
The nurse observes the unlicensed assistive personnel (UAP) squeezing the 'blackheads' on an elderly client. Which action should the nurse implement first?
Correct Answer: B
Rationale: Stopping the UAP immediately prevents potential harm or infection from improper skin manipulation.
Question 5 of 5
The nurse is assessing the client diagnosed with scabies. Which assessment technique would be most appropriate?
Correct Answer: C
Rationale: Scabies burrows are best visualized with magnification and light to confirm diagnosis.