ATI LPN
Integumentary System Questions Questions
Question 1 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.
Question 2 of 5
What is the laser attracted to in hair removal?
Correct Answer: B
Rationale: The correct answer is B: Melanin. Melanin is the pigment responsible for the color of the hair and skin. Laser hair removal targets melanin in the hair follicles, absorbing the laser energy and converting it to heat, which damages the follicle and inhibits future hair growth. Keratin (A) is a protein in the hair shaft, not the target for laser removal. Collagen (C) is a protein in the skin, not involved in hair removal. Sebum (D) is a natural oil produced by the skin glands, not targeted by laser hair removal.
Question 3 of 5
In an industrial accident, a male client that weighs 155 lb. (70 kg) sustained full thickness burns over 40% of his body. He is in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?
Correct Answer: A
Rationale: Rationale: Urine output above 100 ml/hour indicates adequate perfusion and kidney function, a key indicator of effective fluid resuscitation in burn patients. This ensures proper circulation and helps prevent acute kidney injury. In contrast, choices B, C, and D are signs of inadequate fluid resuscitation: low blood pressure (hypotension), high pulse rate (tachycardia), and increased respiratory rate (tachypnea) are signs of hypovolemic shock and inadequate tissue perfusion.
Question 4 of 5
Nurse Melinda is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Post a turning schedule at the client's bedside. Turning the bedridden adult regularly helps redistribute pressure and prevents pressure ulcers. This intervention promotes blood flow and prevents tissue damage. Choice B is incorrect as lotion application does not address the root cause of pressure ulcers. Choice C is incorrect as increasing fluid intake alone does not prevent pressure ulcers. Choice D is incorrect as ring cushions may provide temporary relief but do not address the need for regular repositioning to prevent pressure ulcers.
Question 5 of 5
A client has been taking prednisone (Deltasone) 20 mg once a day to treat severe seborrheic dermatitis. Which of the following assessment findings is of most concern?
Correct Answer: A
Rationale: The correct answer is A: Complaints of epigastric pain. Prednisone can cause gastrointestinal side effects such as stomach irritation, ulcers, or gastritis, which may present as epigastric pain. This is concerning as it can lead to serious complications like gastrointestinal bleeding. Increased appetite (B) and mild weight gain (C) are common side effects of prednisone and are not as concerning as epigastric pain. Improved skin condition (D) is actually a positive outcome of prednisone therapy for seborrheic dermatitis and indicates treatment effectiveness.