ATI RN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
Mrs. Reagan has just been treated for basal cell carcinoma of the upper lip by surgical excision. It would be most important to teach her to
Correct Answer: D
Rationale: The correct answer is D: avoid unnecessary exposure to the sun. This is crucial because excessive sun exposure is a major risk factor for developing skin cancers like basal cell carcinoma. By avoiding the sun, Mrs. Reagan can reduce her risk of developing further skin cancers. Observing for recurrence (choice A) is important but not as immediate as sun protection. Systemic chemotherapy (choice B) is not typically used for basal cell carcinoma. While stopping smoking (choice C) is important for overall health, it is not directly related to preventing the recurrence of basal cell carcinoma.
Question 2 of 5
Keratinocyte is to epidermis as ___ is to dermis.
Correct Answer: A
Rationale: The correct answer is A: fibroblast. Keratinocytes are the predominant cells in the epidermis responsible for producing keratin, a protein that provides structural support and protection to the skin. Similarly, fibroblasts are the main cells in the dermis that produce collagen and elastin fibers, which give the skin its strength and elasticity. Fibrocytes (choice C) are inactive fibroblasts, and dermoblasts (choice B) and dermocytes (choice D) are not recognized cell types in dermatology. Therefore, fibroblast is the most appropriate analogy for the relationship between keratinocyte and epidermis.
Question 3 of 5
Which statement is NOT true of the subcutaneous tissue?
Correct Answer: A
Rationale: The correct answer is A because the subcutaneous tissue is located below the dermis, not between the stratum corneum and muscles. The subcutaneous tissue is composed of adipose tissue and some areolar connective tissue. Adipose tissue stores triglycerides for energy storage and insulation. Mast cells in the subcutaneous tissue produce histamine in response to damage. Areolar connective tissue in the subcutaneous layer contains a matrix with various cells, including white blood cells. So, option A is incorrect as the subcutaneous tissue is not located between the stratum corneum and muscles.
Question 4 of 5
A 20-year-old patient is being seen in the dermatology clinic for a basal cell carcinoma on her eye. The nurse would expect the physician to complete which intervention?
Correct Answer: B
Rationale: The correct answer is B: Mohs' micrographic surgery. This technique is preferred for basal cell carcinoma on sensitive areas like the eye because it allows for precise removal of cancerous tissue layer by layer while sparing healthy tissue. It offers the highest cure rate and best cosmetic outcome. Electrosurgery (A) may not be as precise, Cryosurgery (C) is not ideal for tumors on the eye, and Radiation (D) is typically reserved for cases where surgery is not feasible.
Question 5 of 5
A patient with severe burn injuries to the abdomen and legs becomes combative when it is time to change the dressings. What nursing intervention will be most helpful to this patient?
Correct Answer: B
Rationale: The correct answer is B because premedicating the patient with pain and anxiety medications before the dressing change can help decrease their discomfort and anxiety, making the process more tolerable. This intervention promotes patient comfort and cooperation, ensuring a successful and safe dressing change. Allowing the patient to determine the time of dressing change (A) may not address the underlying issue of anxiety and may lead to delays in care. Telling the patient it is okay to cry during the dressing change (C) does not actively address the patient's discomfort and may not be sufficient in managing their distress. Explaining the importance of dressing changes (D) may be helpful in some situations but may not directly address the patient's immediate need for pain and anxiety relief during the procedure.