ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
The client is one (1) hour postoperative thyroidectomy. Which intervention should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Check the posterior neck for bleeding. This intervention is crucial post-thyroidectomy to monitor for any signs of bleeding, which can be life-threatening. Checking for bleeding is a priority as it can lead to airway compromise and requires immediate intervention. Assessing for Chvostek's sign (B) is unrelated to a thyroidectomy and is used to detect hypocalcemia. Monitoring serum calcium level (C) is important but not as immediate as checking for bleeding. Changing the surgical dressing (D) is important for wound care but does not address the critical need to assess for bleeding.
Question 2 of 5
The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. The nurse should take which initial action?
Correct Answer: B
Rationale: The clear nasal drainage post-hypophysectomy could indicate a cerebrospinal fluid (CSF) leak. Testing the drainage for glucose can help differentiate between CSF and nasal secretions. CSF contains glucose, so if the drainage tests positive for glucose, it confirms a CSF leak. This is important because a CSF leak requires prompt intervention to prevent complications. Lowering the head of the bed (choice A) may promote CSF leakage. Obtaining a culture (choice C) is not the initial priority, as identifying the type of fluid is crucial first. Continuing to observe (choice D) delays necessary action if a CSF leak is present.
Question 3 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 4 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 5 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.