ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
When taking the health history of an older adult, the nurse discovers that the patient has worked in the landscaping business for 40 years. Which clinical manifestation should the nurse teach the patient to self-assess for?
Correct Answer: C
Rationale: Rationale: C: Erythema is the correct answer because prolonged sun exposure in landscaping can lead to skin redness. Sunburn and skin damage are common in outdoor workers. A: Vitiligo is an autoimmune condition causing skin depigmentation, not directly related to sun exposure. B: Alopecia is hair loss, not a direct result of sun exposure. D: Actinic keratosis is a precancerous skin lesion due to sun exposure, but erythema is more common in this scenario.
Question 2 of 5
The paraplegic client is being admitted to a medical unit from home with a stage IV pressure ulcer over the right ischium. Which assessment tool should be completed on admission to the hospital?
Correct Answer: A
Rationale: The correct answer is A: Complete the Braden Scale. This tool assesses the risk of pressure ulcers by evaluating factors such as sensory perception, moisture, activity, mobility, nutrition, and friction/shear. It is crucial to complete this assessment on admission to determine the client's risk level and develop appropriate prevention strategies. B: Monitoring the client on a Glasgow Coma Scale is not relevant in this scenario as it assesses the level of consciousness, not pressure ulcer risk. C: Assessing for Babinski's sign is a neurological assessment and not related to pressure ulcer risk assessment. D: Initiating a Brudzinski flow sheet is not a recognized tool for pressure ulcer risk assessment and is not relevant in this context.
Question 3 of 5
The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, 'How can I prevent getting impetigo?' Which statement would be the most appropriate response?
Correct Answer: B
Rationale: Correct Answer: B: Do not touch any affected areas without gloves. Rationale: 1. Impetigo is a highly contagious skin infection caused by bacteria. 2. Touching affected areas without gloves can lead to the spread of bacteria. 3. Using gloves creates a barrier, reducing the risk of transmission. 4. Handwashing (Choice A) is essential but not specific to preventing impetigo. 5. Applying antibiotic to hands (Choice C) is unnecessary and ineffective. 6. Keeping the child isolated (Choice D) addresses containment, not personal prevention.
Question 4 of 5
The school nurse is assessing a teacher who has pediculosis. Which statement by the teacher makes the nurse suspect that the teacher did not comply with the instructions that were discussed in the classroom with the children?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. The teacher mentions fixing her daughter's hair with her brush, which suggests direct contact with her daughter's hair, potentially spreading the infestation. 2. Pediculosis is transmitted through close contact, so using the same brush on an infested person can lead to reinfestation. 3. This action goes against the instructions discussed in the classroom to prevent the spread of pediculosis. 4. Choices A, B, and C do not involve direct contact with potentially infested individuals, making them less likely to contribute to the spread of pediculosis.
Question 5 of 5
The health department nurse is caring for the client who has leprosy (Hansen's disease). Which assessment data indicate the client is experiencing a complication of the disease?
Correct Answer: C
Rationale: The correct answer is C: Reduced skin sensation in the lesions. This is a sign of a complication in leprosy known as nerve damage. In leprosy, the bacteria affect the nerves, leading to loss of sensation in the skin. This can result in injuries and infections that the client may not feel. A: Elevated temperature at night is a common symptom of leprosy but not necessarily indicative of a complication. B: Brownish-black discoloration to the skin can occur in leprosy but is not necessarily a specific sign of a complication. D: A high count of mycobacteria in the culture indicates the presence of the bacteria causing leprosy but does not directly indicate a complication.