ATI LPN
Integumentary System Questions Questions
Question 1 of 5
The client is diagnosed with stage 1 of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?
Correct Answer: D
Rationale: The correct answer is D: skin rash. In stage 1 of Lyme disease, the hallmark characteristic is a skin rash called erythema migrans. This rash typically appears at the site of the tick bite and expands over time, resembling a bull's eye. This rash is unique to Lyme disease and is essential for early diagnosis and treatment. Choice A (dizziness and headaches) is incorrect as these symptoms are more commonly associated with other conditions and are not specific to Lyme disease. Choice B (enlarged and inflamed joints) is incorrect as joint symptoms usually appear in later stages of Lyme disease. Choice C (arthralgias) is also incorrect as joint pain is a symptom seen in later stages and is not specific to stage 1.
Question 2 of 5
A new patient has come to the dermatology clinic to be assessed for a reddened rash on his abdomen. What diagnostic test would most likely be ordered to identify the causative allergen?
Correct Answer: C
Rationale: The correct answer is C: Patch testing. Patch testing is used to identify contact allergens causing skin reactions, such as rashes. It involves applying small amounts of potential allergens onto the skin and observing for a reaction. This test is ideal for identifying causative allergens in cases of allergic contact dermatitis. A: Skin scrapings are used to diagnose fungal or parasitic infections, not allergens. B: Skin biopsy is used to diagnose skin conditions like skin cancer or inflammatory skin diseases, not allergens. D: Tzanck smear is used to diagnose viral infections like herpes, not allergens.
Question 3 of 5
A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patients health history, the nurse should identify what comorbidity as increasing the patients vulnerability to skin infections?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Patients with diabetes are more susceptible to skin infections due to compromised immune function, poor circulation, and nerve damage. This increases the risk of developing conditions like bacterial cellulitis. Chronic obstructive pulmonary disease (A) affects the lungs, not directly related to skin infections. Rheumatoid arthritis (B) is an autoimmune condition that primarily affects the joints. Gout (C) is a form of arthritis caused by excess uric acid, not directly linked to increased vulnerability to skin infections.
Question 4 of 5
The nurse is caring for a patient with an electrical injury. The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to:
Correct Answer: D
Rationale: The correct answer is D: release of myoglobin from injured tissues. Electrical injuries can cause muscle damage, leading to the release of myoglobin into the bloodstream, which can cause kidney damage by blocking renal tubules. This can result in acute kidney injury. Other choices are incorrect because hypervolemia from burn resuscitation does not directly lead to acute kidney injury, ureteral stones are not directly related to electrical injuries, and nephrotoxic antibiotics are not typically used solely for prevention of infection in electrical injury cases.
Question 5 of 5
The nurse is documenting findings from collecting data with a patient. What term should the nurse use to document transverse depressions in the nails?
Correct Answer: B
Rationale: The correct term for transverse depressions in the nails is Beau's lines. Beau's lines are caused by a temporary disruption in nail growth due to illness or stress. Paronychia is an infection around the nail bed, Koilonychias is spoon-shaped nails associated with iron deficiency anemia, and Splinter hemorrhages are tiny blood clots under the nails. Beau's lines specifically describe transverse depressions, making it the most appropriate term in this context.