ATI RN
Integumentary System CPT Questions and Answers Questions
Question 1 of 5
Some bony prominences are cushioned by:
Correct Answer: C
Rationale: Step 1: Bony prominences need cushioning to protect underlying structures. Step 2: Adipose tissue provides padding and cushioning due to its soft and flexible nature. Step 3: Adipose tissue is commonly found in the subcutaneous layer beneath the skin. Step 4: Therefore, the correct answer is C: adipose tissue in the subcutaneous layer. Summary: - Choice A (adipose tissue in the dermis) is incorrect as the dermis is not the primary location for adipose tissue. - Choice B (elastic connective tissue in the epidermis) is incorrect as elastic connective tissue doesn't provide the same cushioning as adipose tissue. - Choice D (elastic connective tissue in the subcutaneous layer) is incorrect as adipose tissue, not elastic connective tissue, is responsible for cushioning bony prominences.
Question 2 of 5
A patient is seen in the wound clinic for a pressure ulcer on his left leg. There is full-thickness tissue loss with the bone exposed. The nurse would correctly document this wound as being in which stage?
Correct Answer: D
Rationale: The correct answer is D: IV. Stage IV pressure ulcers involve full-thickness tissue loss with exposed bone, tendon, or muscle. In this case, the wound on the patient's left leg fits the description of a Stage IV pressure ulcer. Stages I, II, and III do not involve bone exposure and are characterized by various levels of skin and tissue damage. Therefore, the correct choice is D as it aligns with the specific characteristics of the wound described in the scenario.
Question 3 of 5
If possible, a patient with Stevens–Johnson syndrome should receive treatment in a regional burn center.
Correct Answer: A
Rationale: The correct answer is A because Stevens-Johnson syndrome is a severe skin condition that can lead to extensive skin loss and mucosal damage, similar to burn injuries. Regional burn centers have the expertise and resources to manage such complex cases effectively, including specialized wound care, monitoring for complications, and multidisciplinary care. Therefore, transferring the patient to a burn center can improve outcomes and reduce the risk of complications. Other choices are incorrect because without the specialized care available at a burn center, the patient's condition may worsen, leading to increased morbidity and mortality.
Question 4 of 5
Which action by a family member of a client with a wound requiring sterile dressings would indicate the need for additional teaching?
Correct Answer: D
Rationale: The correct answer is D because using a back-and-forth motion while cleaning the wound introduces the risk of cross-contamination. Cleaning should be done in a gentle, single-direction motion to prevent spreading microorganisms. Placing the old dressing in a plastic bag (A) is appropriate for disposal. Changing the dressing without wearing a mask (B) is not necessary unless there are specific respiratory concerns. Donning nonsterile gloves before removing the old dressing (C) is incorrect, as sterile gloves should be worn to prevent contamination.
Question 5 of 5
Which condition would a nurse suspect in a client with pitting edema?
Correct Answer: B
Rationale: The correct answer is B: Kidney disease- may be associated with pitting edema. Pitting edema is when pressure on the skin causes an indentation that persists for some time. Kidney disease can lead to fluid retention, causing pitting edema due to impaired kidney function in regulating fluid balance. Shock (A) is characterized by decreased cardiac output, not typically associated with pitting edema. Hypothyroidism (C) can cause nonpitting edema due to accumulation of mucopolysaccharides in the dermis. Severe dehydration (D) leads to turgor loss but not typically pitting edema.