ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
The client has developed atrial fibrillation, with a ventricular rate of 150 beats/minute. The nurse should assess the client for which associated signs and/or symptoms?
Correct Answer: C
Rationale: The correct answer is C: Hypotension and dizziness. In atrial fibrillation with a rapid ventricular rate, the heart is unable to effectively pump blood, leading to decreased cardiac output. This can result in hypotension and dizziness due to inadequate perfusion of tissues. Flat neck veins (choice A) are not typically associated with atrial fibrillation. Nausea and vomiting (choice B) may occur in some cases but are not the primary signs and symptoms. Hypertension and headache (choice D) are less likely to occur with atrial fibrillation and a rapid ventricular rate.
Question 2 of 5
A child has been sent to the school nurse with pruritus and honey-colored crusts on the lower lip and chin. The nurse believes these lesions most likely are:
Correct Answer: B
Rationale: The correct answer is B: impetigo. Impetigo is a common bacterial skin infection that often presents with honey-colored crusts. Pruritus, or itching, is also commonly associated with impetigo. Chickenpox (A) typically presents with a rash of red spots that progress to fluid-filled blisters. Shingles (C) is caused by the varicella-zoster virus and presents as a painful rash with blisters in a dermatomal distribution. Herpes simplex type I (D) can cause cold sores, but typically presents as grouped vesicles on the lips rather than crusts.
Question 3 of 5
A nurse can assess cyanosis in a dark-skinned patient by noting the color of the:
Correct Answer: C
Rationale: The correct answer is C: lips and mucous membranes. In dark-skinned individuals, cyanosis may not be easily visible on the skin. The lips and mucous membranes are often the best areas to assess for cyanosis as they can show a bluish or purple discoloration when there is inadequate oxygenation of the blood. The conjunctiva (Choice A) and sclera (Choice B) may not accurately reflect cyanosis in dark-skinned patients. The soles of the feet (Choice D) are not typically used to assess cyanosis. Therefore, Choice C is the most appropriate option for assessing cyanosis in a dark-skinned patient.
Question 4 of 5
The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Use a humidifier at night. Psoriasis is a chronic skin condition characterized by dry, flaky skin. Using a humidifier at night helps to add moisture to the air, preventing further drying of the skin and reducing irritation. This is crucial in managing psoriasis symptoms. Explanation of why other choices are incorrect: A: Liberally apply a lubricating cream three times daily - While moisturizing is important for managing psoriasis, applying a lubricating cream too frequently may not be necessary and could potentially irritate the skin further. C: Use an alcohol-based cleanser in the morning - Alcohol-based cleansers can be harsh on the skin and may exacerbate psoriasis symptoms by drying out the skin further. D: Take hot baths to reduce skin discomfort - Hot baths can actually worsen psoriasis symptoms by stripping the skin of its natural oils and moisture, leading to further dryness and irritation.
Question 5 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes seborrheic dermatitis?
Correct Answer: C
Rationale: The correct answer is C: Scaly lesions on scalp, ear canals, and eyebrows. Seborrheic dermatitis is a chronic inflammatory skin condition characterized by greasy or dry scaling on areas rich in sebaceous glands like the scalp, ear canals, and eyebrows. This distinguishes it from other types of dermatitis. A: Cell-mediated immunity resulting in inflammatory response - This describes allergic contact dermatitis, not seborrheic dermatitis. B: Erythema and pruritus with scaling associated with phlebitis - This does not accurately describe seborrheic dermatitis. D: Mast cell-stimulated release of histamine - This is characteristic of urticaria, not seborrheic dermatitis.