ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?
Correct Answer: B
Rationale: Step 1: Skin moist and intact indicate good skin integrity, important in preventing skin breakdown. Step 2: No skin breakdown noted means there are no existing wounds or pressure injuries. Step 3: History of allergic rashes implies potential for skin irritation or reactions, requiring monitoring. Step 4: Skin warm and dry (Option A) and Skin brown, no skin tenting (Option C) do not indicate skin integrity or risk factors for skin issues. Step 5: Skin pink, no open areas noted (Option D) and Scattered macular brown areas on extremities do not directly suggest skin condition monitoring is needed.
Question 2 of 5
A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patients health history, the nurse should identify what comorbidity as increasing the patients vulnerability to skin infections?
Correct Answer: D
Rationale: The correct answer is D: Diabetes. Patients with diabetes are more susceptible to skin infections due to compromised immune function, poor circulation, and nerve damage. This increases the risk of developing conditions like bacterial cellulitis. Chronic obstructive pulmonary disease (A) affects the lungs, not directly related to skin infections. Rheumatoid arthritis (B) is an autoimmune condition that primarily affects the joints. Gout (C) is a form of arthritis caused by excess uric acid, not directly linked to increased vulnerability to skin infections.
Question 3 of 5
The nurse is caring for a patient with an electrical injury. The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to:
Correct Answer: D
Rationale: The correct answer is D: release of myoglobin from injured tissues. Electrical injuries can cause muscle damage, leading to the release of myoglobin into the bloodstream, which can cause kidney damage by blocking renal tubules. This can result in acute kidney injury. Other choices are incorrect because hypervolemia from burn resuscitation does not directly lead to acute kidney injury, ureteral stones are not directly related to electrical injuries, and nephrotoxic antibiotics are not typically used solely for prevention of infection in electrical injury cases.
Question 4 of 5
The nurse is documenting findings from collecting data with a patient. What term should the nurse use to document transverse depressions in the nails?
Correct Answer: B
Rationale: The correct term for transverse depressions in the nails is Beau's lines. Beau's lines are caused by a temporary disruption in nail growth due to illness or stress. Paronychia is an infection around the nail bed, Koilonychias is spoon-shaped nails associated with iron deficiency anemia, and Splinter hemorrhages are tiny blood clots under the nails. Beau's lines specifically describe transverse depressions, making it the most appropriate term in this context.
Question 5 of 5
A patient with a simple arm fracture is receiving discharge education from the nurse. What would the nurse instruct the patient to do?
Correct Answer: B
Rationale: The correct answer is B: Engage in exercises that strengthen the unaffected muscles. This instruction is important for maintaining overall muscle strength and preventing muscle atrophy in the unaffected arm. Strengthening exercises can also aid in the recovery process and help prevent future injuries. A: Elevating the affected extremity to shoulder level is not necessary for a simple arm fracture and may not contribute significantly to the healing process. C: Applying topical anesthetics is not typically part of discharge instructions for a simple arm fracture and may not be relevant to the patient's care. D: Avoiding analgesics is not recommended as pain management is important for the patient's comfort and well-being during the healing process.