ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The most common characteristics of melanoma are:
Correct Answer: A
Rationale: The correct answer is A because melanoma is typically fast-growing, asymmetrical, and raised. Melanomas often exhibit irregular borders, different colors within the lesion, and a larger size. This is due to the rapid proliferation of melanocytes, the pigment-producing cells, which leads to the characteristic appearance of melanoma. Choices B, C, and D are incorrect because melanomas are not typically slow-growing, symmetrical, flat, or bleeding. Slow growth is more common in benign lesions, while symmetry, flatness, and bleeding are not typical features of melanoma. Therefore, option A best represents the common characteristics of melanoma based on its growth patterns and appearance.
Question 2 of 5
A home health nurse is preparing to begin a series of visits with a client. Based upon the client's condition, the client is expected to require home care visits weekly for the next two months. Which of the following tasks should take place first?
Correct Answer: C
Rationale: Step-by-step rationale for why establishing trust and rapport (choice C) is the correct answer: 1. Establishing trust and rapport is vital in building a therapeutic relationship with the client. 2. Trust is the foundation for effective communication, understanding the client's needs, and ensuring cooperation. 3. By building trust first, the nurse can create a supportive environment for the client's care needs. 4. Setting priorities (choice A), assessing the home environment (choice B), and promoting learning (choice D) all rely on a foundation of trust and rapport. Summary: Establishing trust and rapport is the first crucial step to ensure successful home care visits. Setting priorities, assessing the home environment, and promoting learning can follow once a strong relationship is established.
Question 3 of 5
The client has been diagnosed with chronic sorrow related to her husband's recent diagnosis of terminal cancer. Which action by the nurse would be most helpful to the client?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to identify potential sources of emotional support. This is the most helpful action because it focuses on providing the client with practical support to cope with her chronic sorrow. By identifying potential sources of emotional support, the client can strengthen her support network and feel less isolated in dealing with her husband's terminal illness. Option A: Questioning the client about her knowledge of cancer treatment options is not the most appropriate action in this scenario as it does not directly address the client's emotional needs related to chronic sorrow. Option B: Questioning the client about her husband's prognosis may increase the client's distress and anxiety, which is not beneficial in supporting her emotional well-being. Option C: Determining the means used by the client to cope with loss in the past is important but may not be the most immediate and practical step in addressing the client's current emotional needs.
Question 4 of 5
A client is scheduled for a mammogram. Which of the following might adversely impact the testing?
Correct Answer: A
Rationale: The correct answer is A: The use of deodorant. Deodorant contains metals that can interfere with the imaging process of a mammogram, leading to false results. Other choices (B, C, D) do not directly affect the mammogram imaging process. Makeup and medications may not interfere with the test, and eating breakfast should not impact the mammogram results.
Question 5 of 5
A client reports to the clinic with a painless, ulcerated area on her labia. Based upon your knowledge, what diagnosis do you anticipate?
Correct Answer: B
Rationale: The correct answer is B: Syphilis. This is because syphilis often presents as painless ulcers called chancres, which can appear on the labia. The primary lesion of syphilis is typically firm, round, and non-tender. Herpes simplex II (choice A) presents with painful vesicles, not painless ulcers. Condylomata acuminata (choice C) are genital warts caused by human papillomavirus, not painless ulcers. Gonorrhea (choice D) commonly presents with urethral discharge or vaginal discharge, not painless ulcers.