ATI LPN
Questions for Integumentary System Questions
Question 1 of 5
What is the primary purpose of a whirlpool bath given to the patient with a stage III pressure ulcer?
Correct Answer: B
Rationale: The whirlpool acts as a type of debridement. It gets rid of the necrotic debris and stimulates granulation tissue growth.
Question 2 of 5
A nurse reviews the record of a client scheduled for removal of a skin lesion. The record indicates that the lesion is an irregularly shaped, pigmented papule with a blue-toned color. The nurse determines that this description of the lesion is characteristic of:
Correct Answer: A
Rationale: Irregular shape, pigmentation, and blue tone are hallmarks of melanoma per the ABCDE criteria.
Question 3 of 5
The client suspected of having Stage I of Lyme disease is seen in the health care clinic and is told that the Lyme disease test is positive. The client asks the nurse about the treatment for the disease. The nurse responds to the client, anticipating which of the following to be part of the treatment plan?
Correct Answer: B
Rationale: Stage I Lyme disease is treated with a 2-4 week course of oral antibiotics (e.g., doxycycline) to eradicate the infection.
Question 4 of 5
The nurse notes all these changes in the skin of a 95-year-old patient who is being admitted to an assisted-living facility. Which change will be of most concern to the nurse?
Correct Answer: A
Rationale: Petechiae are caused by pinpoint hemorrhages and are associated with a variety of serious disorders such as meningitis and coagulopathies. The nurse should contact the patient's health care provider about this finding for further diagnostic follow-up. The other skin changes are associated with aging. Although the other changes also will require ongoing monitoring or intervention by the nurse, they do not indicate a need for urgent action.
Question 5 of 5
A young student comes to the school nurse and shows the nurse a mosquito bite. As the nurse expects, the bite is elevated and has serous fluid contained in the dermis. How would the nurse classify this lesion?
Correct Answer: D
Rationale: A wheal is a primary skin lesion that is elevated and has fluid contained in the dermis. An example of a wheal would be an insect bite or hives.