ATI LPN
Integumentary System Questions Questions
Question 1 of 5
The one key risk factor for melanoma is:
Correct Answer: D
Rationale: The correct answer is D: Ultraviolet light. Melanoma is primarily caused by exposure to UV light, which damages skin cells and increases the risk of developing melanoma. UV light triggers mutations in skin cells, leading to the development of melanoma. Age (A), Gender (B), and Ethnicity (C) are not direct risk factors for melanoma, although older individuals and those with fair skin are at higher risk due to increased cumulative UV exposure. UV light is the most significant risk factor for melanoma, making it the correct choice.
Question 2 of 5
The home health nurse observes several small, round bruises on the back side of an elderly client's arms. What action by the nurse is indicated first?
Correct Answer: A
Rationale: The correct answer is A: Question the client about the cause of the bruises. This is the first action indicated because it allows the nurse to gather more information directly from the client to understand the potential cause of the bruises. By communicating with the client, the nurse can assess if the bruises are due to accidental bumps, medication side effects, abuse, or other underlying health issues. This direct communication is crucial for determining the appropriate follow-up actions. Summary of other choices: B: Discussing with the client's spouse does not directly involve the client, who should be the primary source of information. C: Documenting the bruises is important but does not address the immediate need to gather more information from the client. D: Contacting the supervisor is premature without first gathering information from the client.
Question 3 of 5
The client, age 20, dies after an unsuccessful resuscitation attempt. What nursing action is indicated first?
Correct Answer: B
Rationale: The correct answer is B: Document the time of death. This action is indicated first as it is crucial for legal and medical records. It provides an accurate timestamp for the event. Notifying the funeral home (A) is premature without proper documentation. Contacting the physician (C) may be needed later, but documenting the time of death takes precedence. Contacting the orderly for transport (D) should only occur after the time of death is documented.
Question 4 of 5
A client is approximately 4 weeks pregnant. The client reports noting a scant amount of vaginal bleeding. The examination reveals the cervix is closed. Based upon your knowledge, which of the following hormones do you anticipate will be lower than expected for the client?
Correct Answer: A
Rationale: Rationale: At 4 weeks pregnant, progesterone levels are expected to rise to support the pregnancy. A lower than expected progesterone level could indicate a potential issue with maintaining the pregnancy. Estrogen levels also rise during pregnancy, so B is incorrect. Prostaglandins are not typically measured in routine pregnancy assessments, making C irrelevant. Luteinizing hormone levels decrease after ovulation and remain low during pregnancy, so D is also incorrect.
Question 5 of 5
A client asks which method of contraception will provide the greatest protection against sexually transmitted infections. What method can the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Male condoms. Condoms provide a physical barrier that can significantly reduce the risk of sexually transmitted infections (STIs) by preventing direct contact between bodily fluids. They are the most effective method for STI protection. Oral contraceptives (A) do not protect against STIs. Sponges (C) and spermicides (D) offer some pregnancy protection but do not provide significant STI protection like condoms do.