ATI LPN
Integumentary System Questions Questions
Question 1 of 5
The nurse is documenting findings from collecting data with a patient. What term should the nurse use to document transverse depressions in the nails?
Correct Answer: B
Rationale: The correct term for transverse depressions in the nails is Beau's lines. Beau's lines are caused by a temporary disruption in nail growth due to illness or stress. Paronychia is an infection around the nail bed, Koilonychias is spoon-shaped nails associated with iron deficiency anemia, and Splinter hemorrhages are tiny blood clots under the nails. Beau's lines specifically describe transverse depressions, making it the most appropriate term in this context.
Question 2 of 5
An older adult patient has fallen in her home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck. When planning assessments during the patient's presurgical care, the nurse should be aware of the patient's heightened risk of what complication?
Correct Answer: B
Rationale: The correct answer is B: Avascular necrosis. A fractured femoral neck can disrupt blood flow to the head of the femur, leading to avascular necrosis (bone death). This complication can result in further pain and disability. Osteomyelitis (A) is an infection of the bone, which is not directly linked to a fractured femoral neck. Phantom pain (C) is pain perceived in a body part that is no longer there, typically in amputees, not related to a fractured hip. Septicemia (D) is a serious bloodstream infection, which may be a complication of surgery or prolonged hospitalization, but not directly related to a fractured hip.
Question 3 of 5
The nurse notes that an older patient complains of always feeling cold. Which age-related change to the skin could be causing this in the patient?
Correct Answer: B
Rationale: The correct answer is B: Decreased subcutaneous tissue. As people age, they tend to lose subcutaneous fat, which acts as insulation. This loss of fat can result in feeling colder more easily. Fewer protein stores (A) and reduced levels of immune cells (C) are not directly related to feeling cold. Slower blood flow to the skin layers (D) can contribute to temperature regulation issues but is not the primary reason for feeling cold in older adults.
Question 4 of 5
The nurse is caring for a patient with 70% total body surface area chemical burns. Which approach should the nurse anticipate to meet this patient's nutritional needs?
Correct Answer: A
Rationale: Rationale: Option A, parenteral nutrition, is the correct approach for a patient with extensive burns as it bypasses the gastrointestinal tract and provides essential nutrients directly into the bloodstream. This is crucial in cases of severe burns to prevent complications such as malnutrition and support the body's healing process. Options B and C involve feeding through the gastrointestinal tract, which may not be suitable for such extensive burns due to potential complications like GI intolerance or absorption issues. Option D, six small high-calorie meals per day, is not appropriate for a patient with extensive burns as the digestive system may not be able to handle normal oral intake.
Question 5 of 5
The nurse notes that a patient's wound is weeping and edematous. In which phase of healing is this wound?
Correct Answer: D
Rationale: In this case, the weeping and edematous wound indicates an inflammatory phase. This phase involves the body's initial response to injury, characterized by redness, swelling, heat, and pain. The weeping suggests fluid accumulation due to increased vascular permeability. The proliferative phase focuses on tissue repair and regeneration, while maturation involves tissue remodeling and scar formation. Hemostasis is the immediate response to stop bleeding. Therefore, the correct answer is D.