ATI RN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
Which of the following assessment data requires the most immediate further assessment or intervention?
Correct Answer: A
Rationale: The correct answer is A: Bluish color around the lips and earlobes. This indicates cyanosis, a sign of inadequate oxygenation. Immediate further assessment or intervention is crucial as it suggests potentially severe respiratory or circulatory issues. - Choice B: Yellow skin and sclera indicate jaundice, often a sign of liver dysfunction, which requires attention but is less urgent. - Choice C: Bilateral erythema of the face and neck suggests a possible allergic reaction or skin condition, which is concerning but not immediately life-threatening. - Choice D: Dark brown spotting on the chest and back may indicate skin issues or a benign condition, requiring assessment but not as urgently as cyanosis.
Question 2 of 5
A nurse identifies a skin lesion on a client and documents the lesion stating that the lesion is elevated, round, and filled with serum. What is the correct type of lesion that the above definition describes?
Correct Answer: D
Rationale: The correct answer is D: Vesicle. A vesicle is a small elevation of the skin filled with clear fluid (serum). It is also round in shape. A macule (Choice A) is a flat, discolored area. A papule (Choice B) is a small, solid raised bump. A wheal (Choice C) is a raised, red, itchy area caused by a localized allergic reaction. Therefore, based on the description of the lesion being elevated, round, and filled with serum, the correct type of lesion is a vesicle.
Question 3 of 5
Several skin disorders involve an infecting agent. Which of the following is the cause of dermatophytoses?
Correct Answer: B
Rationale: Certainly! The correct answer is B: Parasitic fungi. Dermatophytoses, commonly known as ringworm, are fungal infections that affect the skin, hair, and nails. These infections are caused by a group of fungi known as dermatophytes. They thrive on keratinized tissues such as skin, hair, and nails. Itch mites (A) are responsible for scabies, not dermatophytoses. Reactivated virus (C) refers to conditions like shingles, unrelated to dermatophytoses. Pediculosis (D) is caused by lice infestation, not fungal infections like dermatophytoses.
Question 4 of 5
Which of the following are goals of fluid resuscitation?
Correct Answer: A
Rationale: Step 1: Fluid resuscitation aims to restore intravascular volume to improve circulation and organ perfusion. Step 2: Intravascular volume restoration helps to maintain blood pressure and tissue oxygenation. Step 3: Weight gain is not the primary goal of fluid resuscitation. Step 4: Fluid resuscitation does not directly reduce bleeding but helps stabilize the patient's condition. Step 5: Normalizing breathing is not a direct goal of fluid resuscitation. Therefore, the correct answer is A, as it aligns with the primary goal of fluid resuscitation.
Question 5 of 5
The nurse is caring for a client following debridement. The nurse is most concerned with which complication?
Correct Answer: D
Rationale: The correct answer is D: Infection. Following debridement, there is an increased risk of infection due to the open wound and potential exposure of underlying tissues. Infection can lead to serious complications such as delayed healing, sepsis, and tissue damage. The nurse must closely monitor for signs of infection like redness, swelling, warmth, and purulent drainage. Incorrect choices: A: Bleeding - While bleeding can occur post-debridement, it is a common and expected complication that can usually be managed with pressure and hemostatic agents. B: Pain control - Pain is also a common post-debridement complication, but can be managed with analgesics and other pain management strategies. C: Loss of fluids - Although fluid loss can occur during debridement, it is not typically a major concern post-procedure as long as the client is adequately hydrated.