ATI RN
Integumentary System of Pediatrics Questions
Question 1 of 5
Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?
Correct Answer: B
Rationale: Stage 2 Lyme disease involves disseminated infection, often with cardiac (e.g., conduction defects) or neurological symptoms. Rash is stage 1, joint issues are stage 3.
Question 2 of 5
A client sustained full-thickness burns to both hands from scalding water. A sheet graft was surgically applied to the wounds. The nurse tells the client that this type of graft is indicated for which of the following primary purposes?
Correct Answer: B
Rationale: Sheet grafts (ungmeshed autografts) are used on visible areas like hands for superior cosmetic outcomes due to even healing, despite being harder to manage initially.
Question 3 of 5
A student nurse is instructed by the registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis was in the:
Correct Answer: D
Rationale: In dark-skinned clients, cyanosis is best assessed in the sclera, conjunctiva, or oral mucosa (e.g., lips), not the tongue, where pigmentation obscures changes.
Question 4 of 5
Nail growth is relatively slow; complete fingernail regrowth takes
Correct Answer: C
Rationale: Fingernails grow at a rate of about 3-4 mm per month, and complete regrowth after loss typically takes around 6 months, making C the correct answer.
Question 5 of 5
Topical antibiotics have been used for many years to treat local cutaneous infections. Of the following, the MOST effective topical agents currently available is
Correct Answer: C
Rationale: Fusidic acid is highly effective against Staphylococcus aureus, a common skin pathogen, and has a low resistance profile, making C the correct answer.