ATI RN
Integumentary System Exam Questions Questions
Question 1 of 5
What instruction should the nurse give to an elderly client to reduce the itching that results from dry skin?
Correct Answer: B
Rationale: The correct answer is B) Apply moisturizer to the skin. As people age, their skin tends to become drier due to a decrease in oil production and thinning of the skin layers. Moisturizing the skin helps to replenish lost moisture, maintain skin integrity, and reduce itching. It forms a protective barrier that prevents further water loss, soothes the skin, and promotes skin healing. Option A) Take hot baths daily is incorrect because hot water can further dry out the skin by stripping away natural oils, exacerbating itching. Option C) Take an antipruritic to control the itching is not the best initial approach as it is more of a symptom management strategy rather than addressing the root cause of dry skin. Option D) Wear minimal clothing to expose the skin to the air is also not recommended as it can lead to further moisture loss and skin irritation, especially in elderly individuals with already compromised skin. In an educational context, it is important for nurses to educate elderly clients on proper skincare practices to maintain skin health and comfort. Teaching about the benefits of moisturizing, avoiding hot water, using gentle cleansers, and maintaining a healthy diet and hydration are crucial aspects of promoting skin integrity in the elderly population.
Question 2 of 5
A nurse is caring for a client with an allograft. Which of the following describes the source of the allograft?
Correct Answer: D
Rationale: The correct answer is D: Human skin obtained from a cadaver. Allograft refers to tissue or organ transplanted from one individual to another of the same species. In this case, the allograft is human skin obtained from a cadaver, which is a common source for skin grafts in medical procedures. Choice A is incorrect as it describes an autograft, which involves transplanting skin from one part of the client's body to another. Choice B is incorrect as it refers to xenografts, which use tissue from animals. Choice C is incorrect as it describes a synthetic skin substitute made from bioengineered materials, not human skin from a cadaver.
Question 3 of 5
Priority Decision: A 46-year-old African American patient is scheduled to have a basal cell carcinoma on his cheek excised in the health care provider’s office. What factor is most important for the nurse to obtain in the patient's history?
Correct Answer: C
Rationale: The correct answer is C: Prior treatments for the lesion. This is important to determine the effectiveness of previous treatments and any potential complications. It helps guide the current treatment plan and avoid any adverse reactions. A: Protected sun exposure is not the most important factor as the focus is on the lesion and its treatment, not general sun exposure. B: Radiation treatment for acne is not relevant to the current situation of excising a basal cell carcinoma. D: Exposure to harsh irritants such as ammonia is not directly related to the management of the basal cell carcinoma lesion.
Question 4 of 5
A nurse caring for a disheveled patient with poor hygiene observes that the patient has small red lesions flush with the skin on the head and body. The patient complains of severe itching at the sites. For what should the nurse further assess the patient?
Correct Answer: D
Rationale: The correct answer is D because the patient's symptoms of small red lesions and severe itching are indicative of scabies infestation. Scabies is caused by the Sarcoptes scabiei mite, which burrows into the skin to lay eggs, leading to the characteristic burrows in the interdigital webs. Assessing for burrows is crucial for confirming a scabies diagnosis. Choice A is incorrect because nits on head hair are characteristic of head lice infestation, not scabies. Choice B is incorrect as sexually transmitted diseases typically present with different symptoms. Choice C is incorrect as ticks do not cause burrows and are not associated with scabies infestation.
Question 5 of 5
Which skin condition would be treated with laser surgery?
Correct Answer: D
Rationale: The correct answer is D because laser surgery is commonly used for fine wrinkle reduction or facial lesion removal. Laser treatments target specific skin issues like wrinkles or lesions by resurfacing the skin or removing unwanted tissue. A - Preauricular lesion: Laser surgery is not typically used to treat lesions in this area. B - Redundant soft tissue conditions: Laser surgery is not the primary treatment for this condition. C - Obesity with subcutaneous fat accumulation: Laser surgery is not used to treat obesity or fat accumulation. In summary, laser surgery is specifically effective for fine wrinkle reduction or facial lesion removal due to its precision and targeted approach.