ATI LPN
Integumentary System Exam Questions Questions
Question 1 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 2 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes stasis dermatitis?
Correct Answer: B
Rationale: The correct answer is B: Erythema and pruritus with scaling associated with phlebitis. Stasis dermatitis is caused by venous insufficiency leading to pooling of blood in the lower extremities. This results in inflammation of the skin, presenting as erythema (redness), pruritus (itching), and scaling. The association with phlebitis indicates involvement of the veins. Choices A, C, and D do not accurately describe stasis dermatitis. Choice A refers to contact dermatitis, choice C describes seborrheic dermatitis, and choice D is more characteristic of allergic contact dermatitis.
Question 3 of 5
A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:
Correct Answer: A
Rationale: The correct answer is A: suspicious. Moles with variegated color, irregular borders, and/or an irregular surface are signs of potential melanoma, a type of skin cancer. These features indicate an abnormal and potentially dangerous growth that requires further evaluation. Other choices are incorrect as B: normal, C: common, and D: benign do not accurately reflect the concerning characteristics described in the question. It is crucial for the nurse to recognize these warning signs to ensure timely detection and appropriate management of skin cancer.
Question 4 of 5
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
Correct Answer: B
Rationale: The correct answer is B because sutures are typically removed 7-14 days post skin biopsy, not the next day. A: Monitoring wound drainage is important for infection. C: Using antibiotic ointment promotes wound healing. D: Keeping the dressing dry helps prevent infection. B's timing is incorrect, indicating a need for further instructions.
Question 5 of 5
When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to
Correct Answer: A
Rationale: The correct answer is A because the musky, sour body odor observed in the 87-year-old patient likely indicates poor personal hygiene. Therefore, scheduling a nursing assistant to help the patient bathe several times weekly is the most appropriate action to address this issue and promote cleanliness and comfort. This approach ensures proper hygiene practices are maintained, which can help improve the patient's overall well-being and prevent skin infections. Choices B, C, and D are incorrect because teaching the patient to apply moisturizing lotion, obtaining a prescription for a topical antifungal, or asking about skin medications do not directly address the root cause of the musky odor, which is likely due to poor hygiene. These options focus on skincare and treatment for skin conditions, which may not be the primary concern in this case.