ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
Nurse Bea plans to administer dexamethasone cream to a client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
Correct Answer: A
Rationale: The correct answer is A: With a circular motion, to enhance absorption. Applying dexamethasone cream in a circular motion helps distribute the medication evenly and promotes better absorption into the skin. This method ensures that the active ingredients are spread uniformly over the affected area, maximizing the therapeutic effects. Incorrect choices: B: In a thick layer - Applying a thick layer may lead to excessive absorption or wastage of the medication. C: With a downward stroke - Applying in a downward stroke may not distribute the cream evenly and may not facilitate absorption. D: Using a cotton ball only - Using a cotton ball may not provide the necessary pressure to evenly distribute the cream on the skin.
Question 2 of 5
What important safety measure regarding the use of insect repellents does the nurse teach a parenting group?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Applying repellents to clothing reduces skin exposure. 2. It minimizes direct contact with skin, preventing potential irritation. 3. It also decreases absorption risks. 4. This method is safer, especially for children with sensitive skin. Summary of incorrect choices: B: DEET is not the only effective repellent; there are safe alternatives. C: Oil of lemon eucalyptus is not recommended for babies due to potential skin sensitivity. D: Washing off after 2 hours may reduce efficacy; reapplication is necessary for continued protection.
Question 3 of 5
The faculty member explains fungal skin diseases to a group of students. Which are the common types of this disorder?(Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D: Tinea manus. Tinea manus refers to fungal infections on the hands. The other choices, A, B, and C, refer to fungal infections on the scalp, body, and groin respectively. Therefore, D is the correct answer as it pertains to fungal skin diseases affecting the hands specifically.
Question 4 of 5
The nurse is using the antimicrobial binding dressing Actisorb Silver 222 for a stage 3 pressure ulcer on the left hip area. Which intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Avoid cutting the dressing when applying it to the wound. Actisorb Silver 222 dressing should not be cut as it may disrupt its antimicrobial properties, affecting its effectiveness in managing the wound. Cutting the dressing could also lead to uneven coverage of the wound, potentially causing complications. Performing sterile dressing changes twice a day (choice A) may not be necessary unless specified by the healthcare provider. Premedicating the client with a narcotic analgesic (choice C) is not directly related to the dressing application and should be determined based on the client's pain level. Using tape to hold the secondary dressing in place (choice D) is not recommended as it may cause skin irritation or damage.
Question 5 of 5
The child diagnosed with pediculosis capitis is prescribed lindane. Which information should the nurse discuss with the parents?
Correct Answer: C
Rationale: The correct answer is C because lindane shampoo should be applied to dry hair and then lathered with a small amount of water. This allows for better penetration of the medication into the hair and scalp to effectively treat pediculosis capitis. Washing the hair with an antimicrobial shampoo prior to lindane (choice A) is unnecessary and may reduce the efficacy of lindane. Scrubbing the head for 2 minutes before removing lindane (choice B) can also lead to inadequate treatment. Using lindane shampoo daily for a week (choice D) is incorrect as lindane should not be used daily due to its potential toxicity.