ATI RN
Questions on the Integumentary System Questions
Question 1 of 5
________ hairs are coarse pigmented hairs.
Correct Answer: B
Rationale: The correct answer is B: Terminal. Terminal hairs are coarse, pigmented hairs found on the scalp, eyebrows, and eyelashes. This type of hair is fully developed and thicker compared to vellus hairs found on other areas of the body. Keratinous (A) refers to the protein that makes up hair, so it is not describing the type of hair. Follicular (C) pertains to the hair follicle itself and not the type of hair. Dense (D) does not specify the characteristics of the hair, so it is not the correct choice. Therefore, B is the correct answer.
Question 2 of 5
All of the following are characteristics of the epidermis except that it
Correct Answer: A
Rationale: Correct Answer: A (is vascularized) Rationale: The epidermis is avascular, meaning it does not contain blood vessels. This is crucial for protection against external factors. The other choices are correct: B) It is multilayered to provide protection, C) It is flexible to allow for movement, and D) It is self-repairing to heal minor injuries. Summary: - A: Incorrect, as the epidermis lacks blood vessels for protection. - B: Correct, as the epidermis is multilayered for protection. - C: Correct, as the epidermis is flexible for movement. - D: Correct, as the epidermis has self-repairing capabilities.
Question 3 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 4 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 5 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.