ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The correct answer is D: Cleaning the skin with antimicrobial soap. This task can be safely delegated to UAP as it does not involve any invasive or complex procedures. It is within the scope of practice for UAP and is an important aspect of managing furunculosis to prevent infection spread. Applying antibiotic cream (choice A) involves assessing the skin and determining the appropriate treatment, which requires nursing judgment. Obtaining cultures (choice B) requires specific training and knowledge to collect samples correctly. Evaluating personal hygiene (choice C) involves assessing and analyzing the patient's hygiene practices, which requires nursing assessment skills. Cleaning the skin with antimicrobial soap is a straightforward task that UAP can perform under the supervision of a nurse.
Question 2 of 5
The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, 'How can I prevent getting impetigo?' Which statement would be the most appropriate response?
Correct Answer: B
Rationale: Correct Answer: B: Do not touch any affected areas without gloves. Rationale: 1. Impetigo is a highly contagious skin infection caused by bacteria. 2. Touching affected areas without gloves can lead to the spread of bacteria. 3. Using gloves creates a barrier, reducing the risk of transmission. 4. Handwashing (Choice A) is essential but not specific to preventing impetigo. 5. Applying antibiotic to hands (Choice C) is unnecessary and ineffective. 6. Keeping the child isolated (Choice D) addresses containment, not personal prevention.
Question 3 of 5
The school nurse is assessing a teacher who has pediculosis. Which statement by the teacher makes the nurse suspect that the teacher did not comply with the instructions that were discussed in the classroom with the children?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. The teacher mentions fixing her daughter's hair with her brush, which suggests direct contact with her daughter's hair, potentially spreading the infestation. 2. Pediculosis is transmitted through close contact, so using the same brush on an infested person can lead to reinfestation. 3. This action goes against the instructions discussed in the classroom to prevent the spread of pediculosis. 4. Choices A, B, and C do not involve direct contact with potentially infested individuals, making them less likely to contribute to the spread of pediculosis.
Question 4 of 5
The health department nurse is caring for the client who has leprosy (Hansen's disease). Which assessment data indicate the client is experiencing a complication of the disease?
Correct Answer: C
Rationale: The correct answer is C: Reduced skin sensation in the lesions. This is a sign of a complication in leprosy known as nerve damage. In leprosy, the bacteria affect the nerves, leading to loss of sensation in the skin. This can result in injuries and infections that the client may not feel. A: Elevated temperature at night is a common symptom of leprosy but not necessarily indicative of a complication. B: Brownish-black discoloration to the skin can occur in leprosy but is not necessarily a specific sign of a complication. D: A high count of mycobacteria in the culture indicates the presence of the bacteria causing leprosy but does not directly indicate a complication.
Question 5 of 5
A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing action for this client?
Correct Answer: B
Rationale: The correct answer is B: Assess for airway patency. In this scenario, the client's burns are located on the face, neck, arms, and chest, which can lead to airway compromise due to swelling or inhalation injury. Assessing airway patency is crucial to ensure the client's ability to breathe. Immediate intervention may be necessary to prevent respiratory distress or failure. Restricting fluids (A) is not appropriate as fluid resuscitation may be required for burn victims. Placing a cooling blanket (C) could potentially worsen the burns by causing hypothermia. Giving oral pain medication (D) is important but not the priority in this situation where airway management is critical.