ATI RN
Integumentary System Multiple Choice Questions and Answers PDF Questions
Question 1 of 5
The epidermis of the skin is made of:
Correct Answer: B
Rationale: The epidermis of the skin is made of stratified squamous epithelium because it provides protection against abrasion and dehydration. It consists of multiple layers of flat, scale-like cells that constantly shed and regenerate. This type of epithelium is well-suited for the outermost layer of the skin due to its durability and ability to withstand mechanical stress. Simple squamous epithelium (Choice A) is too thin and fragile for the skin's protective function. Cuboidal epithelium (Choice C) is not flat enough to form the outer layer. Transitional epithelium (Choice D) is found in the urinary system, not in the skin.
Question 2 of 5
Topical corticosteroid therapy has been ordered for a patient with pruritus. What information should be incorporated into the plan of care for this patient?
Correct Answer: C
Rationale: Step 1: Topical corticosteroids can lead to local side effects such as skin atrophy and thinning. Step 2: Incorporating this information into the plan of care is crucial to monitor and prevent these adverse effects. Step 3: Choice A is incorrect as applying liberally can increase the risk of side effects. Step 4: Choice B is incorrect as absorption is actually enhanced when skin is moist, not dry. Step 5: Choice D is incorrect as occlusive dressings can increase absorption of corticosteroids, not decrease it.
Question 3 of 5
A nurse would suspect an inhalation injury with which of the following findings? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because a history of burn occurring in an enclosed space can lead to inhalation of toxic fumes causing an inhalation injury. Carbonaceous sputum is associated with smoke inhalation, not egophony or stridor. Egophony is a finding in lung consolidation, and stridor is typically seen in upper airway obstruction.
Question 4 of 5
Which process is an example of third spacing in a burn injury?
Correct Answer: B
Rationale: The correct answer is B: Edema formation. Third spacing in a burn injury refers to the accumulation of fluid in the interstitial spaces, causing swelling. In a burn injury, the damaged capillaries leak fluid into the surrounding tissues, leading to edema formation. Blister formation (A) is an example of first spacing, where fluid accumulates in the epidermal layer. Fluid mobilization (C) is not related to third spacing but rather refers to the movement of fluids within the body. Fluid accumulation as second spacing (D) is incorrect because second spacing involves normal distribution of fluid within the intravascular and interstitial spaces, not excessive accumulation in the interstitial spaces as seen in third spacing.
Question 5 of 5
Which feature does the nurse associate with a stage 2 pressure ulcer?
Correct Answer: A
Rationale: The correct answer is A: Presence of nonintact skin. In stage 2 pressure ulcers, the skin is partially lost, forming an open wound with a shallow crater. This distinguishes it from stage 1, where only intact but reddened skin is present. Choices B, C, and D are incorrect because they describe features associated with stages 4, 3, and 1 pressure ulcers, respectively. Sinus tracts and extensive tissue damage characterize stage 4 ulcers, while damage to subcutaneous tissues is seen in stage 3 ulcers. Reddened skin over bony prominences is indicative of stage 1 pressure ulcers.