ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
Correct Answer: D
Rationale: The correct answer is D because petechiae are tiny, pinpoint red or purple spots on the skin caused by bleeding under the skin. This could indicate a serious underlying medical condition such as a bleeding disorder or infection. It is crucial to discuss this immediately with the health care provider to determine the cause and initiate appropriate treatment. Choices A, B, and C are not as urgent as petechiae as they are more commonly seen in older adults and are not typically indicative of a serious medical issue requiring immediate attention.
Question 2 of 5
What is the scientific rationale for placing lift pads under an immobile client?
Correct Answer: D
Rationale: The correct answer is D because lift pads help prevent friction shearing when repositioning an immobile client. Friction shearing occurs when two surfaces rub against each other, causing damage to the skin and underlying tissues. Lift pads provide a smooth surface that reduces friction, minimizing the risk of skin breakdown and pressure ulcers. Choice A is incorrect because lift pads are not designed to absorb bodily fluids. Choice B is incorrect because lift pads do not prevent diaphoresis (excessive sweating). Choice C is incorrect because the primary purpose of lift pads is not to prevent workplace injuries for staff, although they may contribute to reducing the risk of musculoskeletal injuries.
Question 3 of 5
The client comes to the clinic complaining of sudden onset of high fever, chills, and a headache. The nurse assesses a patchy macular rash on the trunk and a circular type of rash that looks like an insect bite. Which question would be most appropriate for the nurse to ask during the interview?
Correct Answer: C
Rationale: The correct answer is C: "Have you been deer hunting in the last week?" This question is the most appropriate because the client's symptoms of fever, chills, headache, patchy macular rash, and circular rash resembling an insect bite could indicate Lyme disease, which is commonly transmitted through deer ticks. By asking about deer hunting, the nurse can gather crucial information about potential exposure to ticks in the environment. Summary of why the other choices are incorrect: A: "Do you own dogs that stay in the yard?" - Owning dogs may be relevant for exposure to ticks but does not specifically address the client's recent activities that could have led to tick exposure. B: "Have you been working in your garden lately?" - While gardening can also lead to tick exposure, it is not as directly related to the specific symptoms presented by the client in this case. D: "Do you use sunscreen when you are outside?" - Sunscreen use is not relevant to the symptoms described and does
Question 4 of 5
The long-term care nurse has received the a.m. shift report. Which client should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C because periorbital skin lesions could indicate a serious issue like an infection or skin condition that requires immediate attention to prevent complications. Assessing this client first is crucial to address potential health risks. Choice A is not the priority as not having a bowel movement today may not be an urgent concern if the client is not experiencing discomfort or other symptoms. Choice B could be important but changing an indwelling catheter can typically wait a bit longer without immediate harm. Choice D, a stage I pressure ulcer, is concerning but usually does not require immediate attention compared to a potential skin infection indicated by periorbital lesions.
Question 5 of 5
The public health nurse is caring for a client diagnosed with leprosy (Hansen's disease). Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D. It is crucial to educate the client about how leprosy is transmitted to prevent further spread. Hospital admission may not be necessary for all cases. Administering dapsone for only one month is insufficient for treating leprosy. Using moisturizing lotion does not address the transmission of the disease. Therefore, discussing transmission methods is the priority intervention.