ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
Which intervention should be included in the care plan for a client with acute pain and itching secondary to bacterial skin lesions?
Correct Answer: B
Rationale: The correct answer is B: Maintain a cool environment. This is the most appropriate intervention for a client with acute pain and itching from bacterial skin lesions. Cooling the environment helps alleviate discomfort by reducing inflammation and itching. Keeping humidity low (choice A) may exacerbate dryness and itching. Using mild soap (choice C) is important for skin care but does not directly address pain and itching from bacterial lesions. Applying skin lotion (choice D) may provide temporary relief but does not address the root cause of the symptoms. Maintaining a cool environment is the most effective intervention to provide immediate comfort and promote healing for the client.
Question 2 of 5
The nurse is teaching the client diagnosed with atopic dermatitis. Which information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. Atopic dermatitis is a condition characterized by dry, itchy skin. Using hydrating lotions and minimal soap helps to keep the skin moisturized and prevent further irritation. This promotes skin barrier function and reduces flare-ups. Choice B is incorrect because treating secondary infections should be addressed by a healthcare provider, not the client. Choice C is incorrect as prolonged use of topical corticosteroids can lead to adverse effects such as skin thinning and increased risk of infection. Choice D is incorrect because inhaled allergens can trigger exacerbations, but it is not the primary focus of teaching for atopic dermatitis.
Question 3 of 5
The nurse manager is planning the clinical assignments for the day. Which staff member cannot be assigned to care for a client with herpes zoster?
Correct Answer: C
Rationale: The correct answer is C: The nurse who never had chickenpox. Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus, which causes chickenpox. Once someone has had chickenpox, the virus remains dormant in the body and can reactivate later in life as shingles. Therefore, the nurse who never had chickenpox may be at risk of contracting the virus from the client with herpes zoster. A, B, and D are incorrect choices because having had roseola, mumps, or German measles does not increase the risk of contracting herpes zoster. These conditions are caused by different viruses and do not confer immunity against varicella-zoster virus.
Question 4 of 5
Which sign/symptom should the nurse expect in a client with OA?
Correct Answer: B
Rationale: The correct answer is B: Joint stiffness. Osteoarthritis (OA) is characterized by joint stiffness, especially after periods of inactivity. This occurs due to the breakdown of cartilage in the joints. Severe bone deformity (A) is more commonly associated with conditions like rheumatoid arthritis. Waddling gait (C) is seen in conditions affecting the hip joint. Swan-neck fingers (D) are a characteristic sign of conditions like rheumatoid arthritis, not typically seen in OA. Therefore, joint stiffness is the most expected sign/symptom in a client with OA.
Question 5 of 5
How many tablets of 500-mg calcium supplement will the client need to take daily to achieve three grams?
Correct Answer: D
Rationale: To achieve three grams of calcium, the client needs to take 3000 mg daily. Since each tablet is 500 mg, the client needs to take 3000 mg ÷ 500 mg = 6 tablets daily. Therefore, the correct answer is D. Choice A (3 tablets) is incorrect because 3 tablets would only provide 1500 mg, which is insufficient. Choice B (4 tablets) is incorrect because 4 tablets would provide 2000 mg, still below the required 3000 mg. Choice C (5 tablets) is incorrect as it would provide 2500 mg, also falling short of the necessary 3000 mg.