ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes stasis dermatitis?
Correct Answer: B
Rationale: The correct answer is B: Erythema and pruritus with scaling associated with phlebitis. Stasis dermatitis is caused by venous insufficiency leading to pooling of blood in the lower extremities. This results in inflammation of the skin, presenting as erythema (redness), pruritus (itching), and scaling. The association with phlebitis indicates involvement of the veins. Choices A, C, and D do not accurately describe stasis dermatitis. Choice A refers to contact dermatitis, choice C describes seborrheic dermatitis, and choice D is more characteristic of allergic contact dermatitis.
Question 2 of 5
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
Correct Answer: B
Rationale: The correct answer is B because sutures are typically removed 7-14 days post skin biopsy, not the next day. A: Monitoring wound drainage is important for infection. C: Using antibiotic ointment promotes wound healing. D: Keeping the dressing dry helps prevent infection. B's timing is incorrect, indicating a need for further instructions.
Question 3 of 5
When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to
Correct Answer: A
Rationale: The correct answer is A because the musky, sour body odor observed in the 87-year-old patient likely indicates poor personal hygiene. Therefore, scheduling a nursing assistant to help the patient bathe several times weekly is the most appropriate action to address this issue and promote cleanliness and comfort. This approach ensures proper hygiene practices are maintained, which can help improve the patient's overall well-being and prevent skin infections. Choices B, C, and D are incorrect because teaching the patient to apply moisturizing lotion, obtaining a prescription for a topical antifungal, or asking about skin medications do not directly address the root cause of the musky odor, which is likely due to poor hygiene. These options focus on skincare and treatment for skin conditions, which may not be the primary concern in this case.
Question 4 of 5
A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
Correct Answer: B
Rationale: The correct answer is B: D. Ultraviolet light helps the skin to synthesize vitamin D. When sunlight hits the skin, it triggers a reaction that produces vitamin D. This is important for maintaining healthy bones and immune system function. Choice A: E is incorrect because vitamin E is not synthesized by sunlight. Choice C: A is incorrect because vitamin A is not synthesized by sunlight. Choice D: C is incorrect because vitamin C is not synthesized by sunlight.
Question 5 of 5
Assessment of a patients leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?
Correct Answer: B
Rationale: The correct answer is B: Ulcer. An ulcer is a skin lesion characterized by the loss of skin tissue, resulting in an open sore. In this case, the presence of necrotic tissue deeper than the epidermis indicates tissue loss, consistent with an ulcer. A keloid is a raised scar, not an open sore like an ulcer. A fissure is a linear crack in the skin, different from a circular area of tissue loss. An erosion is a superficial loss of skin layers, not as deep as what is described in the scenario. Therefore, the presence of necrotic tissue deeper than the epidermis points towards an ulcer as the correct skin lesion.