ATI RN
Integumentary System CPT Questions and Answers Questions
Question 1 of 5
Topical steroid therapy may be used to treat psoriasis. If steroids are suddenly stopped, what may the client expect to happen?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Some bony prominences are cushioned by:
Correct Answer: C
Rationale: Step 1: Bony prominences need cushioning to protect underlying structures. Step 2: Adipose tissue provides padding and cushioning due to its soft and flexible nature. Step 3: Adipose tissue is commonly found in the subcutaneous layer beneath the skin. Step 4: Therefore, the correct answer is C: adipose tissue in the subcutaneous layer. Summary: - Choice A (adipose tissue in the dermis) is incorrect as the dermis is not the primary location for adipose tissue. - Choice B (elastic connective tissue in the epidermis) is incorrect as elastic connective tissue doesn't provide the same cushioning as adipose tissue. - Choice D (elastic connective tissue in the subcutaneous layer) is incorrect as adipose tissue, not elastic connective tissue, is responsible for cushioning bony prominences.
Question 3 of 5
Which statement is NOT true of the epidermis?
Correct Answer: A
Rationale: The correct answer is A because mitosis actually takes place in the lowest layer of the epidermis called the stratum basale, not the stratum corneum. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells. Mitosis is necessary for cell renewal, and it occurs in the stratum basale where new skin cells are constantly produced. Langerhans cells in the epidermis are responsible for picking up pathogens, making statement B true. Statement C is also true as the intact stratum corneum acts as a protective barrier against bacteria and chemicals. Lastly, statement D is true as the stratum germinativum (also known as the stratum basale) is indeed adjacent to the dermis, the layer of skin below the epidermis.
Question 4 of 5
A patient is seen in the wound clinic for a pressure ulcer on his left leg. There is full-thickness tissue loss with the bone exposed. The nurse would correctly document this wound as being in which stage?
Correct Answer: D
Rationale: The correct answer is D: IV. Stage IV pressure ulcers involve full-thickness tissue loss with exposed bone, tendon, or muscle. In this case, the wound on the patient's left leg fits the description of a Stage IV pressure ulcer. Stages I, II, and III do not involve bone exposure and are characterized by various levels of skin and tissue damage. Therefore, the correct choice is D as it aligns with the specific characteristics of the wound described in the scenario.
Question 5 of 5
If possible, a patient with Stevens–Johnson syndrome should receive treatment in a regional burn center.
Correct Answer: A
Rationale: The correct answer is A because Stevens-Johnson syndrome is a severe skin condition that can lead to extensive skin loss and mucosal damage, similar to burn injuries. Regional burn centers have the expertise and resources to manage such complex cases effectively, including specialized wound care, monitoring for complications, and multidisciplinary care. Therefore, transferring the patient to a burn center can improve outcomes and reduce the risk of complications. Other choices are incorrect because without the specialized care available at a burn center, the patient's condition may worsen, leading to increased morbidity and mortality.