ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
Dermatoscopy refers to:
Correct Answer: A
Rationale: Dermatoscopy refers to the examination of skin lesions using a dermatoscope, a tool that magnifies and illuminates the skin. This technique helps in analyzing the structures and patterns within the skin to aid in diagnosing various skin conditions. Choice A is correct because it accurately describes the process of dermatoscopy. Choice B is incorrect as it involves both examination and biopsy, not just examination. Choice C is incorrect as dermatoscopy does not involve removal of skin lesions. Choice D is incorrect as debridement refers to the removal of dead or damaged tissue, not the examination of skin lesions.
Question 2 of 5
A postoperative client is preparing for discharge. A home health nurse has been scheduled to call on the client in two days. The client tires easily and voices an inability to concentrate on all of the information the nurse is attempting to review. Which of the subjects concerning the client's condition and home care may be deferred for the home health nurse?
Correct Answer: B
Rationale: The correct answer is B because discussing the activities during the four-week checkup with the physician can be deferred to the home health nurse as it is not immediately essential for the client's immediate postoperative care and discharge. The focus should be on ensuring the client understands crucial information for their immediate care, such as the recommended diet and potential adverse reactions of medications. These topics directly impact the client's recovery and safety. Discussing the actions of prescribed medications is also crucial for the client's ongoing care and should not be deferred. Therefore, choice B is the most appropriate subject to defer to the home health nurse.
Question 3 of 5
A client hospitalized for diagnostic testing reports an intense fear of being found to have a terminal condition. What response by the nurse will be most therapeutic?
Correct Answer: C
Rationale: Rationale: Choice C is the most therapeutic response as it acknowledges the client's fear, opens up communication about their condition, and encourages them to share information from their doctor. This response demonstrates empathy, validates the client's feelings, and promotes an open dialogue to address their concerns. Choices A and B dismiss or ignore the client's feelings, which can worsen the client's anxiety. Choice D focuses on symptoms rather than the client's emotional distress, missing the opportunity to explore the client's fears and provide emotional support.
Question 4 of 5
When providing education to a client concerning breast self-examinations, the client asks what days are best to perform the examination. What information should be included in the response given to the client?
Correct Answer: D
Rationale: The correct answer is D: The examination is best performed after the menstrual period because breasts are least likely to be tender or swollen at this time, making it easier to detect any abnormalities. Performing the examination right after the period also ensures a consistent time each month. A: It does matter what day the examination is performed as timing can impact the accuracy of the examination. B: Performing the examination on the first day of the menstrual period may not be ideal as breasts can be more tender and swollen during this time, potentially affecting the accuracy of the examination. C: Performing the examination in the days just prior to the menstrual period may also not be ideal as breasts tend to be more tender and swollen during this time, making it harder to detect abnormalities.
Question 5 of 5
A client with herpes simplex II is concerned about sexual relations. What information should be provided to the client?
Correct Answer: C
Rationale: Step-by-step rationale for choice C: 1. Herpes simplex II can be transmitted even when there are no visible lesions (asymptomatic shedding). 2. The prodromal period is when the person may experience tingling or itching before lesions appear. 3. Avoiding sexual relations during prodromal period and until healed reduces transmission risk. 4. Waiting for at least 10 days after lesions are healed further decreases transmission risk. Summary: - Choice A is incorrect because transmission can occur even without visible lesions. - Choice B is incorrect as condom use may reduce but not prevent transmission entirely. - Choice D is incorrect because sexual activity should still be avoided during the healing period.