ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: The correct answer is B: Use a humidifier at night. Psoriasis is a chronic skin condition characterized by dry, flaky skin. Using a humidifier at night helps to add moisture to the air, preventing further drying of the skin and reducing irritation. This is crucial in managing psoriasis symptoms. Explanation of why other choices are incorrect: A: Liberally apply a lubricating cream three times daily - While moisturizing is important for managing psoriasis, applying a lubricating cream too frequently may not be necessary and could potentially irritate the skin further. C: Use an alcohol-based cleanser in the morning - Alcohol-based cleansers can be harsh on the skin and may exacerbate psoriasis symptoms by drying out the skin further. D: Take hot baths to reduce skin discomfort - Hot baths can actually worsen psoriasis symptoms by stripping the skin of its natural oils and moisture, leading to further dryness and irritation.
Question 2 of 5
A client is diagnosed with herpes zoster (shingles). Which pharmacological therapy would the nurse expect to be prescribed to treat this disorder?
Correct Answer: C
Rationale: The correct answer is C: acyclovir (zovirax). Acyclovir is the preferred antiviral medication for treating herpes zoster (shingles) as it inhibits the replication of the virus. It helps to reduce the severity and duration of the outbreak and also decreases the risk of complications. Tetracycline hydrochloride (A) and erythromycin base (B) are antibiotics that are not effective against viruses like herpes zoster. Indomethacin (D) is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief and inflammation, but it does not treat the underlying viral infection. Therefore, acyclovir is the most appropriate choice for treating herpes zoster due to its specific antiviral action.
Question 3 of 5
The nurse preparing to assist the physician to examine the client's skin with a Wood's light would do which of the following?
Correct Answer: B
Rationale: The correct answer is B because informing the client that the procedure is painless helps alleviate anxiety and promotes cooperation. Obtaining informed consent (A) is not necessary for a non-invasive procedure like a Wood's light examination. Shaving the skin site (C) is not required unless necessary for better visualization. Local anesthetic (D) is not needed as the procedure is painless.
Question 4 of 5
A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse will
Correct Answer: C
Rationale: The correct answer is C: check the lips and oral mucous membranes. Cyanosis is characterized by a bluish discoloration of the skin and mucous membranes due to decreased oxygen levels in the blood. Lips and oral mucous membranes are highly vascular and can provide a quick indication of cyanosis. Assessing for a bluish tinge in the sclera (A) may be difficult in dark-skinned individuals. Applying pressure to the palms of the hands (B) does not directly assess for cyanosis. Examining the nailbeds for capillary refill (D) is more related to circulation rather than respiratory distress.
Question 5 of 5
A nurse is working with a patient who has a diagnosis of Cushing syndrome. When completing a physical assessment, the nurse should specifically observe for what integumentary manifestation?
Correct Answer: D
Rationale: The correct answer is D: Hirsutism. In Cushing syndrome, there is excessive production of cortisol which can lead to hirsutism, or abnormal hair growth in women. This is due to the hormonal imbalance caused by the condition. Alopecia (choice A) is not typically associated with Cushing syndrome. Yellowish skin tone (choice B) is more indicative of jaundice or liver problems, not specifically related to Cushing syndrome. Patchy, bronze pigmentation (choice C) is seen in Addison's disease, not Cushing syndrome. Hirsutism is a common manifestation of Cushing syndrome due to the excess cortisol stimulating hair growth, making it the correct choice.