ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) on a medical floor are caring for clients who are elderly and immobile. Which action by the UAP warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B because turning immobile clients every two hours is crucial for preventing pressure ulcers. The UAP asking for a meal break before turning the clients neglects their safety and well-being. Choice A is incorrect because elevating the head of the bed for a client who can feed themselves is appropriate. Choice C is incorrect as restocking unsterile gloves is not an urgent issue. Choice D is incorrect because mixing Thick-It into water for a client with swallowing difficulties is within the UAP's scope of practice.
Question 2 of 5
The nurse in a dermatology clinic is taking the history of a client. Which question should the dermatology nurse ask the client?
Correct Answer: A
Rationale: The correct answer is A because asking when the client first noticed the skin problem helps determine the onset and progression of the condition. This information is crucial for diagnosis and treatment planning. Choice B is incorrect as it focuses on external factors rather than the client's symptoms. Choice C is irrelevant unless the client presents with specific sensory issues. Choice D is unrelated to the client's skin concern and does not aid in assessing the skin problem.
Question 3 of 5
The nurse is teaching the client diagnosed with atopic dermatitis. Which information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. Atopic dermatitis is a condition characterized by dry, itchy skin. Using hydrating lotions and minimal soap helps to keep the skin moisturized and prevent further irritation. This promotes skin barrier function and reduces flare-ups. Choice B is incorrect because treating secondary infections should be addressed by a healthcare provider, not the client. Choice C is incorrect as prolonged use of topical corticosteroids can lead to adverse effects such as skin thinning and increased risk of infection. Choice D is incorrect because inhaled allergens can trigger exacerbations, but it is not the primary focus of teaching for atopic dermatitis.
Question 4 of 5
The nurse manager is planning the clinical assignments for the day. Which staff member cannot be assigned to care for a client with herpes zoster?
Correct Answer: C
Rationale: The correct answer is C: The nurse who never had chickenpox. Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus, which causes chickenpox. Once someone has had chickenpox, the virus remains dormant in the body and can reactivate later in life as shingles. Therefore, the nurse who never had chickenpox may be at risk of contracting the virus from the client with herpes zoster. A, B, and D are incorrect choices because having had roseola, mumps, or German measles does not increase the risk of contracting herpes zoster. These conditions are caused by different viruses and do not confer immunity against varicella-zoster virus.
Question 5 of 5
Which sign/symptom should the nurse expect in a client with OA?
Correct Answer: B
Rationale: The correct answer is B: Joint stiffness. Osteoarthritis (OA) is characterized by joint stiffness, especially after periods of inactivity. This occurs due to the breakdown of cartilage in the joints. Severe bone deformity (A) is more commonly associated with conditions like rheumatoid arthritis. Waddling gait (C) is seen in conditions affecting the hip joint. Swan-neck fingers (D) are a characteristic sign of conditions like rheumatoid arthritis, not typically seen in OA. Therefore, joint stiffness is the most expected sign/symptom in a client with OA.