ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, 'How can I prevent getting impetigo?' Which statement would be the most appropriate response?
Correct Answer: B
Rationale: Correct Answer: B: Do not touch any affected areas without gloves. Rationale: 1. Impetigo is a highly contagious skin infection caused by bacteria. 2. Touching affected areas without gloves can lead to the spread of bacteria. 3. Using gloves creates a barrier, reducing the risk of transmission. 4. Handwashing (Choice A) is essential but not specific to preventing impetigo. 5. Applying antibiotic to hands (Choice C) is unnecessary and ineffective. 6. Keeping the child isolated (Choice D) addresses containment, not personal prevention.
Question 2 of 5
The health department nurse is caring for the client who has leprosy (Hansen's disease). Which assessment data indicate the client is experiencing a complication of the disease?
Correct Answer: C
Rationale: The correct answer is C: Reduced skin sensation in the lesions. This is a sign of a complication in leprosy known as nerve damage. In leprosy, the bacteria affect the nerves, leading to loss of sensation in the skin. This can result in injuries and infections that the client may not feel. A: Elevated temperature at night is a common symptom of leprosy but not necessarily indicative of a complication. B: Brownish-black discoloration to the skin can occur in leprosy but is not necessarily a specific sign of a complication. D: A high count of mycobacteria in the culture indicates the presence of the bacteria causing leprosy but does not directly indicate a complication.
Question 3 of 5
A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing action for this client?
Correct Answer: B
Rationale: The correct answer is B: Assess for airway patency. In this scenario, the client's burns are located on the face, neck, arms, and chest, which can lead to airway compromise due to swelling or inhalation injury. Assessing airway patency is crucial to ensure the client's ability to breathe. Immediate intervention may be necessary to prevent respiratory distress or failure. Restricting fluids (A) is not appropriate as fluid resuscitation may be required for burn victims. Placing a cooling blanket (C) could potentially worsen the burns by causing hypothermia. Giving oral pain medication (D) is important but not the priority in this situation where airway management is critical.
Question 4 of 5
When lifting a client up in bed, the nurse feels a pulling in the back. What should be the first action?
Correct Answer: C
Rationale: The correct answer is C: Inform the charge nurse and document occurrence. This is the first action because it is essential to report any work-related injuries promptly for documentation and potential follow-up care. Continuing to work (A) could worsen the injury. Going to the emergency department (B) may not be necessary if the injury is not severe. Seeing a private health-care provider on off time (D) may delay necessary documentation and follow-up within the workplace.
Question 5 of 5
Which intervention should be implemented to help prevent complications secondary to osteoporosis in a long-term care resident?
Correct Answer: D
Rationale: The correct answer is D: Provide nighttime lights in the room. This intervention is important in preventing complications secondary to osteoporosis as it helps reduce the risk of falls and fractures during nighttime bathroom visits. Darkness can increase the risk of falls, especially in elderly individuals with osteoporosis. Keeping the room well-lit at night can improve visibility and safety, reducing the chances of accidents. A: Keeping the bed in a high position does not directly address the risk of falls related to osteoporosis. B: Passive range-of-motion exercises focus on mobility and muscle strength but do not directly address fall prevention. C: Turning the client every two hours is important for preventing pressure ulcers but does not specifically target osteoporosis-related complications.