ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
Correct Answer: B
Rationale: The correct answer is B because sutures are typically removed 7-14 days post skin biopsy, not the next day. A: Monitoring wound drainage is important for infection. C: Using antibiotic ointment promotes wound healing. D: Keeping the dressing dry helps prevent infection. B's timing is incorrect, indicating a need for further instructions.
Question 2 of 5
A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
Correct Answer: B
Rationale: The correct answer is B: D. Ultraviolet light helps the skin to synthesize vitamin D. When sunlight hits the skin, it triggers a reaction that produces vitamin D. This is important for maintaining healthy bones and immune system function. Choice A: E is incorrect because vitamin E is not synthesized by sunlight. Choice C: A is incorrect because vitamin A is not synthesized by sunlight. Choice D: C is incorrect because vitamin C is not synthesized by sunlight.
Question 3 of 5
Assessment of a patients leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?
Correct Answer: B
Rationale: The correct answer is B: Ulcer. An ulcer is a skin lesion characterized by the loss of skin tissue, resulting in an open sore. In this case, the presence of necrotic tissue deeper than the epidermis indicates tissue loss, consistent with an ulcer. A keloid is a raised scar, not an open sore like an ulcer. A fissure is a linear crack in the skin, different from a circular area of tissue loss. An erosion is a superficial loss of skin layers, not as deep as what is described in the scenario. Therefore, the presence of necrotic tissue deeper than the epidermis points towards an ulcer as the correct skin lesion.
Question 4 of 5
Patients with burns may have mesh grafts or sheet grafts. Which of the following sites is most likely to have a sheet graft applied?
Correct Answer: B
Rationale: The correct answer is B: Face. Sheet grafts are typically used on areas where a smooth, even surface is desired, such as the face. Mesh grafts, on the other hand, are often used on areas that need more flexibility and conformity, like the arms and legs. Chest may also require mesh grafts due to its irregular shape. So, face is the most likely site for a sheet graft due to the need for aesthetic outcomes and minimal scarring.
Question 5 of 5
While changing the dressing on a burned arm the patient complains of feeling cold and having extreme pain. However, the patient asks the nurse to not apply so much pressure when wrapping gauze around the limb. What should these findings indicate to the nurse?
Correct Answer: C
Rationale: The correct answer is C: Encapsulated nerve endings in the arm are intact. This is indicated by the fact that the patient is experiencing extreme pain (associated with free nerve endings) but can still differentiate pressure sensation (associated with encapsulated nerve endings). If all nerves were damaged (Choice A), the patient would not feel any sensation. If free nerve endings were injured (Choice B), the patient would not feel pain. If encapsulated nerve endings were injured (Choice D), the patient would not be able to differentiate pressure sensation.