ATI RN
Integumentary System Exam Questions Questions
Question 1 of 5
Which of the following actions helps the nurse assess the skin temperature?
Correct Answer: D
Rationale: The correct answer is D because placing the dorsum of the hand on the surface of the skin allows the nurse to assess the skin temperature accurately. The dorsum of the hand is a more sensitive area for detecting subtle temperature changes compared to the palm. By using the dorsum of the hand, the nurse can feel the skin temperature without altering it. Inspection and palpation (Choice A) may provide information about skin color and texture but not specifically about skin temperature. Detecting moisture with the palmar surface (Choice B) is more related to assessing skin moisture rather than temperature. Grasping the skin (Choice C) may help assess skin turgor but not temperature.
Question 2 of 5
A nurse is providing information to clients in a dermatologist’s office about prevention of skin cancer. Which of the following is the most important prevention measure when teaching a client who frequents a swimming pool?
Correct Answer: B
Rationale: The correct answer is B: Use a sunscreen with an SPF of at least 15 and reapply every 2 hours. Sunscreen is crucial in preventing skin cancer by protecting the skin from harmful UV rays. The SPF of 15 or higher provides adequate protection. Reapplying every 2 hours ensures continuous protection. A: Wearing a hat with a wide brim is important but not as effective as sunscreen in preventing skin cancer. C: Using a lip balm with sunscreen is beneficial, but protecting larger areas of the skin with sunscreen is more important. D: Staying in the shade and swimming after 2:00 p.m. may reduce sun exposure, but sunscreen is still necessary for comprehensive protection.
Question 3 of 5
A nurse is caring for a client with an allograft. Which of the following describes the source of the allograft?
Correct Answer: D
Rationale: The correct answer is D: Human skin obtained from a cadaver. Allograft refers to tissue or organ transplanted from one individual to another of the same species. In this case, the allograft is human skin obtained from a cadaver, which is a common source for skin grafts in medical procedures. Choice A is incorrect as it describes an autograft, which involves transplanting skin from one part of the client's body to another. Choice B is incorrect as it refers to xenografts, which use tissue from animals. Choice C is incorrect as it describes a synthetic skin substitute made from bioengineered materials, not human skin from a cadaver.
Question 4 of 5
Priority Decision: A 46-year-old African American patient is scheduled to have a basal cell carcinoma on his cheek excised in the health care provider’s office. What factor is most important for the nurse to obtain in the patient's history?
Correct Answer: C
Rationale: The correct answer is C: Prior treatments for the lesion. This is important to determine the effectiveness of previous treatments and any potential complications. It helps guide the current treatment plan and avoid any adverse reactions. A: Protected sun exposure is not the most important factor as the focus is on the lesion and its treatment, not general sun exposure. B: Radiation treatment for acne is not relevant to the current situation of excising a basal cell carcinoma. D: Exposure to harsh irritants such as ammonia is not directly related to the management of the basal cell carcinoma lesion.
Question 5 of 5
A nurse caring for a disheveled patient with poor hygiene observes that the patient has small red lesions flush with the skin on the head and body. The patient complains of severe itching at the sites. For what should the nurse further assess the patient?
Correct Answer: D
Rationale: The correct answer is D because the patient's symptoms of small red lesions and severe itching are indicative of scabies infestation. Scabies is caused by the Sarcoptes scabiei mite, which burrows into the skin to lay eggs, leading to the characteristic burrows in the interdigital webs. Assessing for burrows is crucial for confirming a scabies diagnosis. Choice A is incorrect because nits on head hair are characteristic of head lice infestation, not scabies. Choice B is incorrect as sexually transmitted diseases typically present with different symptoms. Choice C is incorrect as ticks do not cause burrows and are not associated with scabies infestation.