ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
Which activity can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
Correct Answer: A
Rationale: The correct answer is A because administering patch testing is a technical task that an LPN/LVN is qualified to perform. LPNs/LVNs are trained in basic patient care and medication administration. Patch testing involves applying allergens to a patient's skin to determine allergic reactions. This task does not require advanced assessment or critical thinking skills. Choice B involves interviewing a new patient about chronic health problems and allergies, which requires comprehensive assessment and critical thinking abilities typically performed by a registered nurse (RN). Choice C involves applying a sterile dressing after a medical procedure, which requires a higher level of assessment and critical thinking beyond the scope of an LPN/LVN. Choice D involves patient education after a medical procedure, which also requires a more advanced level of nursing assessment and critical thinking typically performed by an RN.
Question 2 of 5
The wound care nurse documented a client's pressure ulcers on admission as 3.3 cm × 4.0 cm stage II on the coccyx. Which information would alert the nurse that the client's pressure ulcer is getting worse?
Correct Answer: D
Rationale: The correct answer is D because a pressure ulcer worsening is indicated by progression to deeper tissue layers, such as the subcutaneous layer, and presence of drainage. This suggests tissue damage and increased risk of infection. Choice A describes an area of erythema that does not blanch, indicating possible skin damage but not necessarily worsening of the pressure ulcer. Choice B describes a blister, which can be a sign of pressure injury but does not necessarily indicate worsening. Choice C mentions intact skin and pain, which may suggest other issues but not necessarily worsening of the pressure ulcer.
Question 3 of 5
The client is admitted to the medical floor diagnosed with cellulitis of the left arm. Which assessment data would warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D because in cellulitis, there is a risk of swelling leading to impaired circulation, potentially causing compartment syndrome. Inability to remove the wedding ring indicates swelling, requiring prompt intervention to prevent circulation compromise. Choices A, B, and C do not directly indicate circulation compromise or immediate need for intervention in cellulitis. Bilaterally weak radial pulses may indicate other issues, ability to move fingers is a good sign, and a CRT less than 3 seconds is within normal range.
Question 4 of 5
The school nurse is discussing how to prevent tinea cruris with the football players. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D because keeping the groin area dry helps prevent tinea cruris, a fungal infection commonly known as jock itch. Moisture in the groin area creates an ideal environment for the fungus to thrive. By drying the area thoroughly after bathing, football players can reduce the risk of developing tinea cruris. A: Instructing players to wear tight jock straps can actually increase moisture and friction, leading to a higher risk of tinea cruris. B: The color of socks does not impact the prevention of tinea cruris. C: Sharing brushes or combs does not directly relate to the prevention of tinea cruris.
Question 5 of 5
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen's disease)?
Correct Answer: A
Rationale: The correct answer is A: Social isolation. When a client is diagnosed with leprosy, there is a significant stigma associated with the disease leading to social isolation. The nurse should identify this as a priority problem to address the client's emotional well-being and quality of life. Altered body image (B) and alteration in comfort (D) are important considerations but addressing social isolation is crucial in this case. Potential for infection (C) is not the priority as leprosy is not highly contagious.