ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
Which of the following individuals is least likely to be at risk of developing psoriasis?
Correct Answer: A
Rationale: The correct answer is A because psoriasis is less common among individuals with darker skin tones, such as African Americans. It is more prevalent in individuals with lighter skin tones. Psoriasis is also associated with genetic factors, so choice B, a Caucasian with family history, is at higher risk. Obesity (choice C) and arthritis (choice D) are risk factors for psoriasis due to their inflammatory nature, making choices C and D less likely to be at least at risk compared to choice A.
Question 2 of 5
A female client went to the emergency department states that she is having burning and intense itching on the skin. A further assessment made by the nurse notes that the client is having red and white patches in the mouth. Based on this, the nurse understand that the client is most likely is suffering from?
Correct Answer: C
Rationale: The correct answer is C: Candida albicans. The symptoms described - burning and intense itching on the skin with red and white patches in the mouth - are indicative of a yeast infection caused by Candida albicans. This fungal infection commonly presents with oral thrush (white patches in the mouth) and can also cause skin irritation. Herpes simplex (A) typically presents with painful blisters, not white patches in the mouth. Psoriasis (B) is characterized by red, scaly patches on the skin, not white patches in the mouth. Eczema (D) presents with dry, itchy, inflamed skin, but does not typically involve white patches in the mouth.
Question 3 of 5
A child is in the emergency department(ED) with a dog bite. After cleansing the wound and attending to the childs comfort, which action should the nurse perform next?
Correct Answer: D
Rationale: The correct answer is D: Report the bite to authorities. This is important to ensure proper follow-up care, prevention of rabies transmission, and identification of potentially dangerous dogs. Antibiotics may be needed but should be prescribed by a healthcare provider. Offering a toy may provide comfort but is not the priority. Discharge teaching can be done after addressing the immediate safety concerns. Reporting the bite to authorities is crucial for public health and safety.
Question 4 of 5
A nurse is teaching a community parent group about signs and symptoms of Lyme disease. Which statements does the nurse include?(Select all that apply.)
Correct Answer: D
Rationale: Step 1: Lyme disease is caused by the bacterium Borrelia burgdorferi transmitted through tick bites. Step 2: The incubation period for Lyme disease is typically 3-30 days after a tick bite. Step 3: Early symptoms include fever, fatigue, headache, and a characteristic bulls-eye rash. Step 4: The bulls-eye rash (erythema migrans) is a hallmark sign of early Lyme disease. Step 5: Inability to bear weight is not typically a symptom of Lyme disease. Step 6: Therefore, the correct statement includes the manifestation of Lyme disease 3-30 days after a tick bite (Choice D). Other choices are incorrect as they do not align with typical signs and symptoms of Lyme disease.
Question 5 of 5
The male client diagnosed with a stage 4 pressure ulcer on the coccyx area is being treated with an autolytic medication for debridement and an occlusive dressing. The wife asks about a foul odor. Which statement is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C: 'The odor is an expected reaction to the pressure dressing.' The rationale is that in the scenario provided, the male client is being treated with an occlusive dressing for the pressure ulcer. Occlusive dressings can sometimes lead to a foul odor due to the accumulation of exudate and bacteria under the dressing, which is a normal part of the healing process. The nurse's response should reassure the wife that the odor is expected and not necessarily indicative of an infection. Option A: 'I will contact your husband's doctor when he makes rounds.' This response does not address the wife's concern about the foul odor and delays providing necessary information. Option B: 'The odor is secondary to an infection and he is taking antibiotics.' This response assumes an infection without proper assessment and may mislead the wife about the cause of the odor. Option D: 'I am sorry the odor bothers you. We will bathe your husband.' This response does not address the underlying cause