ATI LPN
Integumentary System Questions Questions
Question 1 of 5
What layer of the epidermis is most superficial?
Correct Answer: A
Rationale: The correct answer is A: Stratum corneum. The stratum corneum is the most superficial layer of the epidermis, consisting of dead, flattened keratinocytes. It acts as a protective barrier against external factors. The other choices are incorrect because the stratum lucidum is found only in thick skin, the stratum granulosum is the layer where keratinocytes start to flatten and lose their nuclei, and the stratum basale is the deepest layer where active cell division occurs.
Question 2 of 5
In an industrial accident, a male client that weighs 155 lb. (70 kg) sustained full thickness burns over 40% of his body. He is in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?
Correct Answer: A
Rationale: Rationale: Urine output above 100 ml/hour indicates adequate perfusion and kidney function, a key indicator of effective fluid resuscitation in burn patients. This ensures proper circulation and helps prevent acute kidney injury. In contrast, choices B, C, and D are signs of inadequate fluid resuscitation: low blood pressure (hypotension), high pulse rate (tachycardia), and increased respiratory rate (tachypnea) are signs of hypovolemic shock and inadequate tissue perfusion.
Question 3 of 5
Nurse Melinda is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Post a turning schedule at the client's bedside. Turning the bedridden adult regularly helps redistribute pressure and prevents pressure ulcers. This intervention promotes blood flow and prevents tissue damage. Choice B is incorrect as lotion application does not address the root cause of pressure ulcers. Choice C is incorrect as increasing fluid intake alone does not prevent pressure ulcers. Choice D is incorrect as ring cushions may provide temporary relief but do not address the need for regular repositioning to prevent pressure ulcers.
Question 4 of 5
A client has been taking prednisone (Deltasone) 20 mg once a day to treat severe seborrheic dermatitis. Which of the following assessment findings is of most concern?
Correct Answer: A
Rationale: The correct answer is A: Complaints of epigastric pain. Prednisone can cause gastrointestinal side effects such as stomach irritation, ulcers, or gastritis, which may present as epigastric pain. This is concerning as it can lead to serious complications like gastrointestinal bleeding. Increased appetite (B) and mild weight gain (C) are common side effects of prednisone and are not as concerning as epigastric pain. Improved skin condition (D) is actually a positive outcome of prednisone therapy for seborrheic dermatitis and indicates treatment effectiveness.
Question 5 of 5
A parent calls the pediatric clinic asking for advice on treating lice. The child has already been treated once with lindane(Qwell). Which advice from the nurse is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C because malathion(Ovide) is a recommended alternative treatment for lice when lindane(Qwell) has already been used. Malathion works differently and may be more effective in this case. Choice A is incorrect as lice do not typically survive off the human scalp for long. Choice B is incorrect because using the same treatment multiple times may not be effective. Choice D is incorrect as oral medications are not typically recommended for lice treatment.