ATI LPN
Integumentary System Questions Questions
Question 1 of 5
For which patient would the nurse question an order for isotretinoin (Accutane)?
Correct Answer: B
Rationale: The correct answer is B because isotretinoin is contraindicated during pregnancy due to its teratogenic effects. A pregnant woman should not be prescribed isotretinoin as it can cause severe birth defects. Choices A, C, and D are incorrect because isotretinoin can be used in patients with epilepsy, on oral contraceptives, and hypertension, respectively, as long as appropriate precautions are taken. It is crucial to consider the potential harm to the fetus in pregnant women when prescribing isotretinoin.
Question 2 of 5
On assessment of a child, the nurse notes the presence of white patches on the child's tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush):
Correct Answer: A
Rationale: The correct answer is A because in candidiasis (thrush), the white patches are adherent to the tongue even when scraped with a tongue blade due to the presence of fungal overgrowth. This characteristic distinguishes candidiasis from other conditions. Choices B, C, and D are incorrect because candidiasis does not cause continuous bleeding, a red circle in the center of the lesion, or occur exclusively on the tongue. These features are not consistent with the typical presentation of candidiasis.
Question 3 of 5
The client is diagnosed with stage 1 of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?
Correct Answer: D
Rationale: The correct answer is D: skin rash. In stage 1 of Lyme disease, the hallmark characteristic is a skin rash called erythema migrans. This rash typically appears at the site of the tick bite and expands over time, resembling a bull's eye. This rash is unique to Lyme disease and is essential for early diagnosis and treatment. Choice A (dizziness and headaches) is incorrect as these symptoms are more commonly associated with other conditions and are not specific to Lyme disease. Choice B (enlarged and inflamed joints) is incorrect as joint symptoms usually appear in later stages of Lyme disease. Choice C (arthralgias) is also incorrect as joint pain is a symptom seen in later stages and is not specific to stage 1.
Question 4 of 5
Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?
Correct Answer: B
Rationale: Step 1: Skin moist and intact indicate good skin integrity, important in preventing skin breakdown. Step 2: No skin breakdown noted means there are no existing wounds or pressure injuries. Step 3: History of allergic rashes implies potential for skin irritation or reactions, requiring monitoring. Step 4: Skin warm and dry (Option A) and Skin brown, no skin tenting (Option C) do not indicate skin integrity or risk factors for skin issues. Step 5: Skin pink, no open areas noted (Option D) and Scattered macular brown areas on extremities do not directly suggest skin condition monitoring is needed.
Question 5 of 5
A new patient has come to the dermatology clinic to be assessed for a reddened rash on his abdomen. What diagnostic test would most likely be ordered to identify the causative allergen?
Correct Answer: C
Rationale: The correct answer is C: Patch testing. Patch testing is used to identify contact allergens causing skin reactions, such as rashes. It involves applying small amounts of potential allergens onto the skin and observing for a reaction. This test is ideal for identifying causative allergens in cases of allergic contact dermatitis. A: Skin scrapings are used to diagnose fungal or parasitic infections, not allergens. B: Skin biopsy is used to diagnose skin conditions like skin cancer or inflammatory skin diseases, not allergens. D: Tzanck smear is used to diagnose viral infections like herpes, not allergens.