ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The nurse is assisting a patient who has a suspected diagnosis of tinea capitis (ringworm). For which diagnostic test should the nurse prepare the patient?
Correct Answer: D
Rationale: The correct answer is D: Wood's light examination. This test uses a special ultraviolet light to detect fungal infections like tinea capitis, which causes certain fungal species to fluoresce. The other choices are not appropriate for diagnosing tinea capitis. Patch test (A) is used to identify allergic contact dermatitis, scratch test (B) is used to identify immediate allergic reactions, and skin biopsy (C) is used to diagnose skin conditions like skin cancer or autoimmune diseases, not tinea capitis. Therefore, Wood's light examination is the most suitable test for diagnosing tinea capitis.
Question 2 of 5
A patient is being treated for a fractured hip and the nurse is aware of the need to implement interventions to prevent muscle wasting and other complications of immobility. What intervention best addresses the patient's need for exercise?
Correct Answer: C
Rationale: The correct answer is C: Encouraging frequent use of the overbed trapeze. This intervention helps the patient to move and reposition themselves independently, promoting muscle strength and preventing muscle wasting. Leg lifts (A) may not be suitable for a patient with a fractured hip. Massage (B) can improve circulation but does not provide the necessary muscle-strengthening exercise. Log rolling (D) may be too intense for a patient with a fractured hip. Encouraging the use of the trapeze allows for safe and controlled movement, promoting mobility and preventing complications of immobility.
Question 3 of 5
An older patient has areas of psoriasis on the arms and legs. What should the nurse expect to be prescribed for this patient?
Correct Answer: A
Rationale: The correct answer is A: Topical steroids. Topical steroids are commonly prescribed for psoriasis to reduce inflammation and itching. They help to control the symptoms and improve the appearance of the skin. Other choices are incorrect: B (Topical Benadryl) is an antihistamine and not typically used for psoriasis. C (Lidocaine patches) are used for pain relief, not for treating psoriasis. D (Systemic antibiotics) are not indicated for psoriasis unless there is a secondary bacterial infection.
Question 4 of 5
A patient recovering from 25% total body surface area burns has a low-grade fever. What should the nurse do to reduce this patient's risk of developing an infection?
Correct Answer: C
Rationale: The correct answer is C: Use sterile technique for all dressing changes. Sterile technique reduces the risk of introducing harmful microorganisms into the burn wound, thus decreasing the likelihood of infection. By maintaining a sterile environment during dressing changes, the nurse can help protect the patient's vulnerable skin and promote healing. A: Following contact precautions is important for preventing the spread of infection, but it does not directly address the risk of infection in the burn wound. B: Implementing protective isolation is unnecessary in this case as the patient's low-grade fever does not indicate the need for isolation. D: Administering prophylactic antibiotics is not recommended in this scenario as it can contribute to antibiotic resistance and is not necessary unless there is a confirmed infection present.
Question 5 of 5
A patient has a secondary closure surgical wound. What was most likely used to close this wound?
Correct Answer: D
Rationale: The correct answer is D: Sutures. Sutures are commonly used in secondary closure surgical wounds to approximate the skin edges and promote proper healing. They provide secure closure, reduce the risk of infection, and allow for precise alignment of the wound edges. A: Tape is not typically used for secondary closure of surgical wounds as it may not provide enough support and security for proper wound healing. B: Grafts are used for transplanting tissue and are not typically used for closing surgical wounds. C: Staples are commonly used for primary closure of wounds, but they may not be as suitable for secondary closure as they can cause more tissue trauma and may not provide as precise alignment as sutures.