ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The client is admitted to the medical floor diagnosed with cellulitis of the left arm. Which assessment data would warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because in cellulitis, there is a risk of swelling leading to impaired circulation, potentially causing compartment syndrome. Inability to remove the wedding ring indicates swelling, requiring prompt intervention to prevent circulation compromise. Choices A, B, and C do not directly indicate circulation compromise or immediate need for intervention in cellulitis. Bilaterally weak radial pulses may indicate other issues, ability to move fingers is a good sign, and a CRT less than 3 seconds is within normal range.
Question 2 of 5
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen's disease)?
Correct Answer: A
Rationale: The correct answer is A: Social isolation. When a client is diagnosed with leprosy, there is a significant stigma associated with the disease leading to social isolation. The nurse should identify this as a priority problem to address the client's emotional well-being and quality of life. Altered body image (B) and alteration in comfort (D) are important considerations but addressing social isolation is crucial in this case. Potential for infection (C) is not the priority as leprosy is not highly contagious.
Question 3 of 5
The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury?
Correct Answer: D
Rationale: The correct answer is D: Elevated hematocrit levels. During the resuscitation/emergent phase of burn injury, the body responds by shifting fluids from the intravascular space to the interstitial space, leading to hemoconcentration and elevated hematocrit levels. This occurs due to increased capillary permeability and fluid loss. A: Decreased heart rate is not typically expected during the resuscitation phase of burn injury. B: Increased urinary output may occur in the diuretic phase, which follows the resuscitation phase. C: Increased blood pressure is not a typical finding during the resuscitation phase of burn injury. In summary, the correct answer is D because hemoconcentration and elevated hematocrit levels are expected due to fluid shifts in the resuscitation/emergent phase of burn injury.
Question 4 of 5
Which is a modifiable risk factor for developing osteoarthritis (OA)?
Correct Answer: A
Rationale: The correct answer is A: Being overweight. Excess weight puts additional stress on the joints, leading to increased risk of developing OA. This is a modifiable risk factor as weight management through diet and exercise can help reduce the risk. Option B (Increasing age) is a non-modifiable risk factor as age itself cannot be changed. Option C (Previous joint damage) increases the risk but is not modifiable. Option D (Genetic susceptibility) also increases the risk, but genetics cannot be altered. Therefore, being overweight is the modifiable risk factor for developing OA.
Question 5 of 5
What teaching should the nurse implement regarding taking calcium carbonate (Tums) for osteoporosis?
Correct Answer: C
Rationale: Step 1: Calcium carbonate needs stomach acid for absorption. Step 2: Taking 30-60 mins before a meal ensures optimal stomach acid levels. Step 3: Absorption is best in acidic environment. Step 4: Taking with meals can decrease absorption. Step 5: Other choices are incorrect as they do not address optimal absorption of calcium carbonate.