ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 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 2 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.
Question 3 of 5
A new patient presents at the clinic and the nurse performs a comprehensive health assessment. The nurse notes that the patients fingernail surfaces are pitted. The nurse should suspect the presence of what health problem?
Correct Answer: C
Rationale: The correct answer is C: Psoriasis. Pitted fingernails are a common finding in psoriasis, a chronic autoimmune skin condition. The pitting occurs due to abnormal growth of the nail matrix cells. In eczema (choice A), there is typically no nail involvement. Systemic lupus erythematosus (choice B) can cause nail changes, but pitting is not a common feature. COPD (choice D) does not directly cause nail pitting. Therefore, based on the presentation of pitted fingernails, psoriasis is the most likely health problem.
Question 4 of 5
The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment. A primary nursing diagnosis is:
Correct Answer: B
Rationale: The correct answer is B: body image disturbance. Skin grafting for burn wound treatment can greatly impact a patient's body image due to scarring and changes in appearance. This can lead to psychological distress and affect the patient's self-esteem and social interactions. Addressing body image disturbance is crucial for the patient's emotional well-being and overall recovery. Incorrect choices: A: altered nutrition, less than body requirements - While nutrition is important for wound healing, it is not the primary concern in this case. C: decreased cardiac output - This choice is not directly related to skin grafting and burn wound treatment. D: fluid volume deficit - Though fluid balance is important post-surgery, it is not the primary nursing diagnosis in this scenario.
Question 5 of 5
After a health interview the nurse is concerned that a patient might develop vitamin D deficiency. What information did the nurse use to come to this conclusion?
Correct Answer: C
Rationale: The correct answer is C because spending no time outdoors in the sun can lead to vitamin D deficiency since sunlight is a primary source of vitamin D production in the body. Choice A is incorrect because spending time in the sun can actually help with vitamin D production. Choice B is incorrect because using emollient lotion does not directly impact vitamin D levels. Choice D is also incorrect as restricting caffeinated beverages is not related to vitamin D deficiency. In summary, the lack of sun exposure in choice C is the main reason for the concern of vitamin D deficiency in this scenario.