ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The nurse assesses a patient who has just arrived in the postanesthesia recovery area (PACU) after a blepharoplasty. Which assessment data should be reported to the surgeon immediately?
Correct Answer: D
Rationale: The correct answer is D because pale and cold skin around the incision indicates poor circulation and potential compromised blood flow, which could lead to tissue damage or necrosis. This is a critical finding that requires immediate attention to prevent further complications. A: Incisional pain is expected postoperatively and can be managed with pain medication, it does not indicate an immediate need for intervention. B: Heart rate elevation can be a normal response to surgery and anesthesia, and 110 beats/minute may not be concerning depending on the patient's baseline and clinical context. C: Temporary loss of sensation or numbness around the incision site is common after blepharoplasty due to local anesthesia effects, and it usually resolves as the anesthesia wears off. It does not require immediate intervention unless it persists or worsens.
Question 2 of 5
The client is admitted to the medical floor diagnosed with cellulitis of the left arm. Which assessment data would warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because in cellulitis, there is a risk of swelling leading to impaired circulation, potentially causing compartment syndrome. Inability to remove the wedding ring indicates swelling, requiring prompt intervention to prevent circulation compromise. Choices A, B, and C do not directly indicate circulation compromise or immediate need for intervention in cellulitis. Bilaterally weak radial pulses may indicate other issues, ability to move fingers is a good sign, and a CRT less than 3 seconds is within normal range.
Question 3 of 5
The school nurse is discussing how to prevent tinea cruris with the football players. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D because keeping the groin area dry helps prevent tinea cruris, a fungal infection commonly known as jock itch. Moisture in the groin area creates an ideal environment for the fungus to thrive. By drying the area thoroughly after bathing, football players can reduce the risk of developing tinea cruris. A: Instructing players to wear tight jock straps can actually increase moisture and friction, leading to a higher risk of tinea cruris. B: The color of socks does not impact the prevention of tinea cruris. C: Sharing brushes or combs does not directly relate to the prevention of tinea cruris.
Question 4 of 5
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen's disease)?
Correct Answer: A
Rationale: The correct answer is A: Social isolation. When a client is diagnosed with leprosy, there is a significant stigma associated with the disease leading to social isolation. The nurse should identify this as a priority problem to address the client's emotional well-being and quality of life. Altered body image (B) and alteration in comfort (D) are important considerations but addressing social isolation is crucial in this case. Potential for infection (C) is not the priority as leprosy is not highly contagious.
Question 5 of 5
The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury?
Correct Answer: D
Rationale: The correct answer is D: Elevated hematocrit levels. During the resuscitation/emergent phase of burn injury, the body responds by shifting fluids from the intravascular space to the interstitial space, leading to hemoconcentration and elevated hematocrit levels. This occurs due to increased capillary permeability and fluid loss. A: Decreased heart rate is not typically expected during the resuscitation phase of burn injury. B: Increased urinary output may occur in the diuretic phase, which follows the resuscitation phase. C: Increased blood pressure is not a typical finding during the resuscitation phase of burn injury. In summary, the correct answer is D because hemoconcentration and elevated hematocrit levels are expected due to fluid shifts in the resuscitation/emergent phase of burn injury.