ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The nurse is evaluating nutritional teaching provided to a patient recovering from 24% total body surface area burns. Which information indicates that teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B: Serum protein level 7.1 g/dL. This indicates effective teaching as it shows an improvement in the patient's nutritional status. Serum protein levels reflect protein intake and liver function, which are crucial for healing after burns. Weight loss (A) is not indicative of nutritional improvement in this context. Low serum albumin level (C) suggests protein malnutrition, not improvement. Choice D is not a valid option.
Question 2 of 5
Hair, epidermis, and nails are all made up of:
Correct Answer: A
Rationale: The correct answer is A: keratin. Keratin is a fibrous structural protein that is the main component of hair, epidermis, and nails. It provides strength, durability, and protection to these structures. Vitamin D (choice B) is important for bone health and is not a component of hair, epidermis, or nails. Adipose tissue (choice C) is fat tissue and is not a component of these structures. Collagen (choice D) is a different type of protein found in connective tissues such as tendons and ligaments, not in hair, epidermis, or nails.
Question 3 of 5
Dr. Martinez prescribes an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond?
Correct Answer: B
Rationale: The correct answer is B because applying an emollient after a bath or shower helps seal in moisture and prevents evaporation of water from the hydrated epidermis, promoting hydration and maintaining skin integrity. This is crucial for managing pruritus. Summary: A: While emollients can help reduce skin irritation, the main purpose of applying it after a bath is to prevent water loss. C: Emollients do not enhance skin absorption of medication. D: Cooling the skin is not the primary reason for applying emollients after a bath.
Question 4 of 5
The evening nurse reviews the nursing documentation in the male client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which of the following would the nurse expect to note on assessment of the client's sacral area?
Correct Answer: A
Rationale: The correct answer is A: Partial-thickness skin loss of the dermis. This aligns with the definition of a stage II pressure ulcer, which involves partial-thickness skin loss involving the epidermis and/or dermis. This stage typically presents as a shallow open ulcer with a red-pink wound bed. Choice B (Full-thickness skin loss) is incorrect as it corresponds to a stage III pressure ulcer where there is full-thickness tissue loss. Choice C (Blistering without skin loss) is incorrect as it describes a stage II pressure injury, not a pressure ulcer. Choice D (Intact skin with redness) is incorrect as it signifies a stage I pressure ulcer, where there is non-blanchable erythema of intact skin. Therefore, the nurse would expect to see partial-thickness skin loss of the dermis in the sacral area of the client with a stage II pressure ulcer.
Question 5 of 5
Nurse Bea plans to administer dexamethasone cream to a client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
Correct Answer: A
Rationale: The correct answer is A: With a circular motion, to enhance absorption. Applying dexamethasone cream in a circular motion helps distribute the medication evenly and promotes better absorption into the skin. This method ensures that the active ingredients are spread uniformly over the affected area, maximizing the therapeutic effects. Incorrect choices: B: In a thick layer - Applying a thick layer may lead to excessive absorption or wastage of the medication. C: With a downward stroke - Applying in a downward stroke may not distribute the cream evenly and may not facilitate absorption. D: Using a cotton ball only - Using a cotton ball may not provide the necessary pressure to evenly distribute the cream on the skin.