ATI RN
Integumentary System Test Questions and Answers PDF Questions
Question 1 of 5
The ________ glands in the axilla become active at the time of puberty.
Correct Answer: C
Rationale: The correct answer is C: apocrine sweat glands. These glands in the axilla become active at puberty due to hormonal changes, secreting a thick, odorless substance. Sebaceous glands produce oil, ceruminous glands produce earwax, and axillary glands are not a specific type of gland. Therefore, choice C is correct as it accurately describes the glands in the axilla that are activated during puberty.
Question 2 of 5
You are doing a sterile dressing change for a client with infected deep partial-thickness burns of the chest and abdomen. List the steps of the care plan in the order each should be accomplished.
Correct Answer: C
Rationale: In this scenario, administering morphine sulfate 10 mg IV (Option C) is the correct first step in the care plan for a client with infected deep partial-thickness burns of the chest and abdomen. Pain management is crucial to ensure the client's comfort and cooperation during the dressing change procedure, which can be extremely painful. The other options are incorrect for the following reasons: A) Applying silver sulfadiazine (Silvadene) ointment (Option A) should come after wound debridement, as the medication is more effective when applied to clean wound beds. B) Obtaining aerobic and anaerobic wound cultures (Option B) is important but should be done after wound debridement to avoid contamination during the sampling process. D) Debriding the wound of eschar using gauze sponges (Option D) should come after pain management to minimize the discomfort experienced by the client during the procedure. Educationally, it is vital for healthcare providers to prioritize pain management in clients with burns to ensure holistic care and effective treatment. Understanding the sequence of steps in wound care is essential for providing safe and efficient care to clients with complex wound conditions like infected burns. By emphasizing the rationale behind each step, healthcare professionals can enhance their clinical decision-making skills and improve patient outcomes.
Question 3 of 5
You have prepared a care plan for an elderly client living in an LTC facility who has candidiasis in the skin folds of the abdomen and groin. Which intervention is best for you, as the nurse manager, to delegate to an LPN working in the facility?
Correct Answer: A
Rationale: In this scenario, the best intervention to delegate to an LPN for an elderly client with candidiasis in skin folds is option A, which is to apply nystatin (Mycostatin) powder to the area 3 times daily. This is the correct answer because nystatin is an antifungal medication specifically used to treat candidiasis, effectively targeting the root cause of the infection. Option B, cleaning skin folds every 8 hours with mild soap and drying thoroughly, is important for maintaining hygiene but does not directly address the fungal infection. Option C, evaluating the need for further antifungal treatment weekly, involves making clinical judgments that require a higher level of expertise than an LPN possesses. Option D, assessing for ongoing risk factors for skin breakdown and infection, is important but does not provide a direct treatment for the current candidiasis infection. It's crucial to educate healthcare professionals on appropriate delegation based on their scope of practice and competency levels. LPNs have the skills to apply topical medications like nystatin under the supervision of a registered nurse or healthcare provider, making option A the most suitable task to delegate in this situation. Understanding delegation principles is essential for effective teamwork and patient care coordination in healthcare settings.
Question 4 of 5
As charge nurse, you are observing a newly hired RN. Which action by the new RN requires your most immediate action?
Correct Answer: B
Rationale: In this scenario, the most immediate action required is option B) Administration of tetracycline with a glass of milk to a client with cellulitis. The rationale behind this choice is that tetracycline should not be administered with dairy products like milk, as calcium in milk can interfere with the absorption of tetracycline, reducing its effectiveness. Option A is incorrect because obtaining an anaerobic culture of a superficial partial-thickness arm burn is a standard procedure for assessing infection, but it does not pose an immediate risk to the client. Option C is incorrect because debriding a deep partial-thickness burn wound using wet-to-dry dressings is a common practice in wound care, although there may be more optimal methods available. Option D is incorrect as teaching a newly admitted burn client about the use of pressure garments is an important aspect of burn care but does not pose an immediate risk to the client's health. In an educational context, this question highlights the importance of medication administration knowledge, understanding drug-food interactions, and the significance of timely interventions in nursing practice to ensure patient safety and optimal outcomes. Nurses need to be vigilant in their medication administration practices to prevent adverse reactions and ensure the effectiveness of treatment.
Question 5 of 5
A nurse is caring for a client who has been bedridden for several years. Which of the following actions should the nurse perform if the client’s skin blanches with pressure relief?
Correct Answer: D
Rationale: The correct answer is D) Turn and reposition the client frequently. This is the most appropriate action because blanching of the skin indicates impaired circulation, which can lead to pressure ulcers or bedsores in clients who are bedridden. Turning and repositioning the client helps to relieve pressure on specific areas of the body, improving circulation and reducing the risk of skin breakdown. Option A) Massage bony areas is incorrect because massaging areas with compromised circulation can further damage the skin and tissues, increasing the risk of pressure ulcers. Option B) Using a moisturizing skin cleanser is not the most appropriate action in this scenario as it does not directly address the issue of pressure relief and prevention of pressure ulcers. Option C) Padding body areas may provide some comfort but does not address the underlying issue of pressure relief and prevention of pressure ulcers. In an educational context, it is crucial for nurses and healthcare providers to understand the importance of skin integrity in clients who are immobile. Proper positioning, turning, and repositioning are essential to prevent pressure ulcers, maintain skin health, and overall promote the well-being of bedridden clients. It is vital for healthcare professionals to be knowledgeable about effective strategies to prevent complications associated with immobility.