ATI RN
Questions on the Integumentary System Questions
Question 1 of 5
Each of the following is a function of the integumentary system except
Correct Answer: A
Rationale: The correct answer is A: synthesis of vitamin C. The integumentary system does not synthesize vitamin C; it is produced by the liver. The integumentary system's function includes maintaining body temperature, providing sensation, and protecting underlying tissues. Vitamin C synthesis is not a function of the integumentary system as it is primarily related to the liver's metabolic processes. Therefore, choice A is the correct answer as it does not align with the functions of the integumentary system.
Question 2 of 5
As charge nurse in a long-term-care (LTC) facility, you are developing a care plan for a client with a stage 3 pressure ulcer located over the sacrum. Which nursing intervention is most appropriate to delegate to an LPN who works as a team leader in the facility?
Correct Answer: D
Rationale: The correct answer is D: Inspect and document the appearance of the ulcer daily. Delegating this task to an LPN is appropriate as it involves routine monitoring and documentation of the pressure ulcer, which is within the scope of practice for an LPN. By inspecting and documenting the ulcer daily, the LPN can track any changes in the ulcer's appearance, such as signs of infection or healing progress, and report this information to the charge nurse or healthcare provider. This helps in ensuring proper wound care and timely intervention. Choice A (Choosing the type of dressing) involves making a clinical decision that requires a higher level of assessment and expertise, typically done by an RN or wound care specialist. Choice B (Using the Norton scale for assessment) involves a comprehensive assessment of risk factors, which is more suitable for an RN. Choice C (Assisting the client to change position) involves direct client care and should be done by a nursing assistant under the supervision of an RN or LPN.
Question 3 of 5
All of these clients are being discharged from the hospital. In planning discharge teaching, for which are you most concerned about the need to use sunscreen?
Correct Answer: B
Rationale: The correct answer is B. The fair-skinned 55-year-old who has just had neck surgery and plans to walk outside is most at risk for sun exposure. Sunscreen is important to prevent skin damage and reduce the risk of skin cancer, especially for fair-skinned individuals who are more susceptible to sunburn and skin damage. A: Tetracycline can cause photosensitivity, but it is not the most concerning in this scenario. C: Dark-skinned individuals have more natural protection against UV rays, so sunscreen may not be as critical. D: Although the pruritic rash may be uncomfortable, it is not directly related to the need for sunscreen.
Question 4 of 5
A newly graduated RN is in the third week of orientation to the medical-surgical unit. Which client is best for you, as charge nurse, to assign to the new graduate?
Correct Answer: A
Rationale: The correct answer is A because a patient with periorbital cellulitis requires close monitoring and immediate intervention due to the risk of complications such as vision loss or intracranial involvement. This assignment will provide the new graduate with an opportunity to develop critical thinking skills and prioritize care for a potentially unstable patient. Choice B is incorrect because a patient needing discharge instructions after skin grafts is usually stable and may not require acute interventions, making it less suitable for a new graduate. Choice C is incorrect because a dressing change for a stage 3 pressure ulcer post-hydrotherapy is a routine procedure that may not challenge the new graduate's critical thinking skills or require immediate interventions. Choice D is incorrect as teaching before a punch biopsy is important but not as time-sensitive or critical compared to managing a patient with periorbital cellulitis.
Question 5 of 5
Which of the following are consequences of skin impairment?
Correct Answer: C
Rationale: The correct answer is C: Infection of the wound. Skin impairment can lead to an open wound, making it susceptible to bacterial invasion and infection. Bacteria can enter the wound, leading to inflammation and potential complications. Purulent leakage (choice A) is a symptom of infection, not a direct consequence of skin impairment. Itching (choice B) is a common symptom of skin irritation but not a direct consequence of skin impairment. Pain (choice D) can be a result of skin impairment but is not as directly linked to the consequences of an infected wound. Ultimately, infection of the wound is the most critical consequence of skin impairment due to the potential for serious complications and delayed healing.