ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
Which client history is most significant in the development of symptoms for a client who has iatrogenic Cushing's disease?
Correct Answer: C
Rationale: The correct answer is C: History of long-term glucocorticoid use. Glucocorticoids are known to cause iatrogenic Cushing's disease. This choice directly correlates with the condition's development. Other choices like A (anabolic steroids) and B (inhaled steroids for asthma) are not typically associated with iatrogenic Cushing's. Choice D (family history of increased cortisol production) is not a direct cause of iatrogenic Cushing's, as it is not related to external factors like medication use.
Question 2 of 5
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A: "I need to stop my insulin." This statement indicates a need for further teaching because in cases of vomiting, diarrhea, and fasting, insulin may still be necessary to prevent hyperglycemia. Stopping insulin could lead to dangerously high blood sugar levels. Increasing fluid intake (B), monitoring blood glucose levels (C), and contacting the healthcare provider (D) are all appropriate responses to the client's symptoms and are not indicative of a need for further teaching.
Question 3 of 5
A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when administering this drug?
Correct Answer: C
Rationale: The correct answer is C: Use gloves. When administering acyclovir for herpes zoster, the nurse should wear gloves to prevent the spread of the virus and protect themselves from potential exposure. This is important for infection control and to maintain proper hygiene practices. Applying lightly (A) could increase the risk of spreading the virus. Wrapping in warm wet dressings (B) is not recommended as it can create a warm and moist environment, which may exacerbate the infection. Rubbing the medication into lesions (D) is not necessary and could cause discomfort to the patient. Using gloves ensures safety for both the patient and the healthcare provider.
Question 4 of 5
Which may indicate a malignant melanoma in a nevus on a patient's arm?
Correct Answer: C
Rationale: The correct answer is C: Irregular border of the mole. An irregular border in a nevus can be a sign of malignant melanoma due to its lack of defined edges. This irregularity is a key indicator of potential cancerous growth. Even coloring (A) and symmetry (D) are typically associated with benign moles, while a decrease in size (B) may not necessarily indicate malignancy as size can fluctuate in both benign and malignant nevi.
Question 5 of 5
A patient with psoriasis is placed on PUVA therapy. What factors compose this therapy?
Correct Answer: C
Rationale: The correct answer is C - Artificial ultraviolet (UV) rays and a coal tar product. PUVA therapy involves combining a photosensitizing medication (psoralen) with exposure to UVA light. The psoralen makes the skin more sensitive to UVA light, which helps to treat psoriasis. Choice A is incorrect because corticosteroids are not typically used in PUVA therapy. Choice B is incorrect because X-rays and methotrexate are not components of PUVA therapy. Choice D is incorrect because laser treatment and antimetabolites are not part of PUVA therapy. In summary, PUVA therapy consists of artificial UV rays and a coal tar product to treat psoriasis effectively.