ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The mother of a 4-year-old child reports concerns about how to completely rid her home of lice. Which response indicates that the mother needs further instruction?
Correct Answer: C
Rationale: For items that cannot be cleaned, such as some stuffed animals, sealing them in plastic bags with the air expelled for 14 days can be effective. Linens should be washed and dried on the hottest cycle. Application of alcohol-based lotion requires reapplication after 1 week. Sharing hats or hairbrushes increases the likelihood of lice transmission.
Question 2 of 5
A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:
Correct Answer: D
Rationale: Red-tan scaly plaques are characteristic of actinic keratoses, precancerous lesions from sun exposure.
Question 3 of 5
A student nurse is instructed by the registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis was in the:
Correct Answer: C
Rationale: In dark-skinned clients, cyanosis is best assessed in the sclera, conjunctiva, or oral mucosa, not nail beds or lips, due to pigmentation.
Question 4 of 5
An African American is admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what body area should the nurse look for yellow discoloration?
Correct Answer: D
Rationale: Jaundice, a yellowing of the skin, is directly related to elevations in serum bilirubin and is often first observed in the sclerae and mucous membranes.
Question 5 of 5
A nurse is conducting a health interview and is assessing for integumentary conditions that are known to have a genetic component. What assessment question is most appropriate?
Correct Answer: A
Rationale: Eczema and psoriasis are known to have a genetic component.