ATI RN
Pediatric Integumentary NCLEX Quizlet Questions
Question 1 of 5
On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, 'Is this cancer?' The nurse makes which response to the client?
Correct Answer: A
Rationale: A flat, brown, circular nevus <1 cm is typically a benign mole unless it shows ABCDE criteria (asymmetry, border irregularity, color variation, diameter >6mm, evolving). The nurse's response reflects this likelihood.
Question 2 of 5
A nurse reviews the record of a client scheduled for removal of a skin lesion. The record indicates that the lesion is an irregularly shaped, pigmented papule with a blue-toned color. The nurse determines that this description of the lesion is characteristic of:
Correct Answer: A
Rationale: Melanoma often presents as an irregular, pigmented lesion with color variation (e.g., blue), per ABCDE criteria. Basal cell carcinoma is pearly, squamous cell carcinoma is scaly, and actinic keratosis is precancerous and rough.
Question 3 of 5
A client is seen in the health care clinic because of complaints of lesions on the elbows and the knees. The lesions are red raised papules, and large plaques covered by silvery scales are also noticed on the elbows and the knees. Psoriasis is diagnosed and the nurse provides information about treatment to the client. The nurse determines that the client needs additional information if the client states that which of the following is a component of the treatment plan?
Correct Answer: D
Rationale: Psoriasis is typically managed with topical treatments (tar, lubricants) and UV light, not systemic corticosteroids, which are reserved for severe cases due to side effects. The client's statement suggests misunderstanding.
Question 4 of 5
A nurse is assessing the operative site in a client who underwent a breast reconstruction. The nurse is inspecting the flap and the areola of the nipple and notes that the areola is a deep red color around the edge. The nurse takes which action first?
Correct Answer: D
Rationale: A deep red areola suggests potential circulatory compromise (e.g., venous congestion) in the flap, requiring immediate physician notification to assess viability.
Question 5 of 5
The client who sustained an inhalation injury arrives in the emergency department. On assessment of the client, the nurse notes that the client is very confused and combative. The nurse determines that the client is experiencing:
Correct Answer: C
Rationale: Confusion and combativeness in inhalation injury suggest hypoxia from reduced oxygen delivery (e.g., carbon monoxide poisoning or airway damage). Anxiety, fear, or pain may contribute but are less directly tied to these symptoms.