ATI RN
Pediatric Integumentary System Questions
Question 1 of 5
What is the most serious adverse event associated with isotretinoin?
Correct Answer: D
Rationale: Teratogenicity is the most serious adverse effect of isotretinoin, causing severe birth defects.
Question 2 of 5
A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?
Correct Answer: B
Rationale: Maintaining a supine position can worsen gas exchange in a client with thoracic burns and smoke inhalation due to reduced lung expansion and potential airway obstruction. Repositioning, suctioning, and humidified oxygen are beneficial for airway management and oxygenation.
Question 3 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?
Correct Answer: A
Rationale: A partial-thickness superficial burn (first-degree) affects only the epidermis, resulting in redness and possibly a wet, shiny surface if minor blistering occurs. Deeper burns (dry surface, charring, no sensation) indicate full-thickness or greater severity.
Question 4 of 5
A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:
Correct Answer: A
Rationale: Moles with variegated color, irregular borders, or surfaces suggest potential malignancy (e.g., melanoma) per ABCDE criteria, warranting suspicion and further evaluation.
Question 5 of 5
A client is seen in the health care clinic and the physician suspects herpes zoster. The nurse prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?
Correct Answer: C
Rationale: Herpes zoster is confirmed via viral culture or PCR from lesion fluid, requiring a swab and tube. Biopsy is invasive, Wood's light detects fungal infections, and patch tests assess allergies.