ATI LPN
Integumentary System Questions Questions
Question 1 of 5
The nurse is educating patients about dietary selections that will promote wound healing. Which menu option is most beneficial?
Correct Answer: D
Rationale: The correct answer is D because lean beef provides protein for tissue repair, citrus fruits offer vitamin C for collagen synthesis, and leafy green vegetables provide vitamins and minerals essential for wound healing. Choice A lacks the necessary vitamins and minerals from fruits and vegetables. Choice B provides empty calories and lacks essential nutrients. Choice C is better than B but lacks the protein from lean beef necessary for tissue repair.
Question 2 of 5
The client is diagnosed with stage 1 of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?
Correct Answer: D
Rationale: The correct answer is D: skin rash. In stage 1 of Lyme disease, the hallmark characteristic is a skin rash called erythema migrans. This rash typically appears at the site of the tick bite and expands over time, resembling a bull's eye. This rash is unique to Lyme disease and is essential for early diagnosis and treatment. Choice A (dizziness and headaches) is incorrect as these symptoms are more commonly associated with other conditions and are not specific to Lyme disease. Choice B (enlarged and inflamed joints) is incorrect as joint symptoms usually appear in later stages of Lyme disease. Choice C (arthralgias) is also incorrect as joint pain is a symptom seen in later stages and is not specific to stage 1.
Question 3 of 5
Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?
Correct Answer: B
Rationale: Step 1: Skin moist and intact indicate good skin integrity, important in preventing skin breakdown. Step 2: No skin breakdown noted means there are no existing wounds or pressure injuries. Step 3: History of allergic rashes implies potential for skin irritation or reactions, requiring monitoring. Step 4: Skin warm and dry (Option A) and Skin brown, no skin tenting (Option C) do not indicate skin integrity or risk factors for skin issues. Step 5: Skin pink, no open areas noted (Option D) and Scattered macular brown areas on extremities do not directly suggest skin condition monitoring is needed.
Question 4 of 5
A new patient has come to the dermatology clinic to be assessed for a reddened rash on his abdomen. What diagnostic test would most likely be ordered to identify the causative allergen?
Correct Answer: C
Rationale: The correct answer is C: Patch testing. Patch testing is used to identify contact allergens causing skin reactions, such as rashes. It involves applying small amounts of potential allergens onto the skin and observing for a reaction. This test is ideal for identifying causative allergens in cases of allergic contact dermatitis. A: Skin scrapings are used to diagnose fungal or parasitic infections, not allergens. B: Skin biopsy is used to diagnose skin conditions like skin cancer or inflammatory skin diseases, not allergens. D: Tzanck smear is used to diagnose viral infections like herpes, not allergens.
Question 5 of 5
A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patients health history, the nurse should identify what comorbidity as increasing the patients vulnerability to skin infections?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Patients with diabetes are more susceptible to skin infections due to compromised immune function, poor circulation, and nerve damage. This increases the risk of developing conditions like bacterial cellulitis. Chronic obstructive pulmonary disease (A) affects the lungs, not directly related to skin infections. Rheumatoid arthritis (B) is an autoimmune condition that primarily affects the joints. Gout (C) is a form of arthritis caused by excess uric acid, not directly linked to increased vulnerability to skin infections.