ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Wash your face gently with mild soap. This is important because gentle cleansing helps remove excess oil and impurities without irritating the skin, which can worsen acne. It is essential to maintain a clean skin surface to prevent further breakouts. A: Avoid all chocolate - While diet may play a role in acne for some individuals, there is no conclusive evidence linking chocolate consumption to acne in all cases. C: Scrub your face with a soft brush - Scrubbing the face can irritate the skin and worsen acne by causing inflammation and spreading bacteria. D: Gently express clogged sebum from your pores - This can lead to further inflammation and scarring, and should be avoided as it can worsen acne.
Question 2 of 5
On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, 'Is this cancer?' The nurse makes which response to the client?
Correct Answer: A
Rationale: The correct answer is A: "These are likely to be benign moles." The rationale is as follows: 1. Size: The nevi is less than one centimeter, which is typically indicative of a benign lesion. 2. Color: The description of a flat brown circular nevi suggests a classic appearance of a benign mole. 3. Assessment: Based on the characteristics provided, the nurse can reasonably assume that the nevi are benign. In summary, the other choices are incorrect because B is too alarmist without proper assessment, C is an extreme statement without sufficient evidence, and D is incorrect as verrucae are wart-like growths, not moles.
Question 3 of 5
The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?
Correct Answer: A
Rationale: The correct answer is A: assessing peripheral pulses. In circumferential burns of both legs, there is a risk of compartment syndrome due to swelling and restricted blood flow. Assessing peripheral pulses helps determine if there is adequate circulation to the extremities, which is crucial for preventing tissue damage and ensuring limb viability. It is the priority because impaired circulation can lead to serious complications like tissue necrosis. Assessing neurological status (B) is important but assessing circulation takes precedence. Assessing urine output (C) and blood pressure (D) are essential but not as immediate in this scenario.
Question 4 of 5
A patient has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. To determine whether the lesion is related to blood vessel dilation, the nurse will
Correct Answer: D
Rationale: The correct answer is D: press firmly on the lesion. By pressing firmly on the lesion, the nurse can assess if the redness blanches, indicating that it is related to blood vessel dilation. Palpating pulses (choice A) would not provide information on blood vessel dilation. Checking skin temperature (choice B) may not directly indicate blood vessel dilation. Elevating the leg (choice C) may help with circulation but does not directly assess blood vessel dilation. Pressing on the lesion (choice D) is the best choice as it can help determine if the redness is due to blood vessel dilation.
Question 5 of 5
A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to facilitate what diagnostic test to rule out a skin malignancy?
Correct Answer: B
Rationale: The correct answer is B: Skin biopsy. A skin biopsy is the gold standard diagnostic test for evaluating suspected skin malignancies like malignant melanoma. It involves removing a small piece of skin tissue for examination under a microscope to confirm the presence of cancerous cells. This test provides definitive results to confirm or rule out skin malignancies. Choice A: Tzanck smear is used to diagnose herpes infections, not skin malignancies. Choice C: Patch testing is used to identify allergic contact dermatitis, not skin malignancies. Choice D: Skin scrapings are used to diagnose fungal infections, not skin malignancies.