ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Which of the following are the complications of a sebaceous cyst?
Correct Answer: A
Rationale: The correct answer is A: Infection. Sebaceous cysts can become infected due to bacteria entering the cyst, causing inflammation, redness, and pain. Infection can lead to abscess formation and require medical intervention. Keratin horn formation (B) is a rare occurrence associated with epidermoid cysts, not sebaceous cysts. Calcification (C) is not a common complication of sebaceous cysts. Ulceration (D) may occur if the cyst is traumatized but is not a typical complication.
Question 2 of 5
The one key risk factor for melanoma is:
Correct Answer: D
Rationale: The correct answer is D: Ultraviolet light. Melanoma is primarily caused by exposure to UV light, which damages skin cells and increases the risk of developing melanoma. UV light triggers mutations in skin cells, leading to the development of melanoma. Age (A), Gender (B), and Ethnicity (C) are not direct risk factors for melanoma, although older individuals and those with fair skin are at higher risk due to increased cumulative UV exposure. UV light is the most significant risk factor for melanoma, making it the correct choice.
Question 3 of 5
The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered:
Correct Answer: A
Rationale: The correct answer is A: A few minutes before the next scheduled dose of medication. This timing ensures that the trough level represents the lowest concentration of the antibiotic in the client's bloodstream, allowing for an accurate assessment of how well the medication is being metabolized and eliminated. Explanation: 1. Trough level is usually measured just before the next dose to ensure that the drug has reached its lowest concentration. 2. This timing helps determine if the drug concentration remains within the therapeutic range and if adjustments to the dosing regimen are needed. 3. Option B is incorrect because waiting 1-2 hours after oral administration would not reflect the trough level. 4. Option C is incorrect as measuring 30 minutes after IV administration would not capture the trough level accurately. 5. Option D is incorrect because measuring during infusion would not provide an accurate trough level. In summary, the trough level should be ordered just before the next dose to accurately assess the drug's concentration at its lowest point.
Question 4 of 5
The home health nurse observes several small, round bruises on the back side of an elderly client's arms. What action by the nurse is indicated first?
Correct Answer: A
Rationale: The correct answer is A: Question the client about the cause of the bruises. This is the first action indicated because it allows the nurse to gather more information directly from the client to understand the potential cause of the bruises. By communicating with the client, the nurse can assess if the bruises are due to accidental bumps, medication side effects, abuse, or other underlying health issues. This direct communication is crucial for determining the appropriate follow-up actions. Summary of other choices: B: Discussing with the client's spouse does not directly involve the client, who should be the primary source of information. C: Documenting the bruises is important but does not address the immediate need to gather more information from the client. D: Contacting the supervisor is premature without first gathering information from the client.
Question 5 of 5
The client, age 20, dies after an unsuccessful resuscitation attempt. What nursing action is indicated first?
Correct Answer: B
Rationale: The correct answer is B: Document the time of death. This action is indicated first as it is crucial for legal and medical records. It provides an accurate timestamp for the event. Notifying the funeral home (A) is premature without proper documentation. Contacting the physician (C) may be needed later, but documenting the time of death takes precedence. Contacting the orderly for transport (D) should only occur after the time of death is documented.