ATI LPN
Integumentary System Exam Questions Questions
Question 1 of 5
Which of the following statements are correct regarding neurofibromatosis?
Correct Answer: B
Rationale: The correct answer is B because there are indeed three types of neurofibromatosis: NF1, NF2, and schwannomatosis. NF1 and schwannomatosis have autosomal dominant inheritance, while NF2 has autosomal dominant inheritance with variable penetrance. Choice A is incorrect because types of neurofibromatosis do not have autosomal recessive inheritance. Choice C is incorrect because von Recklinghausen's disease is synonymous with neurofibromatosis type 1, not type 2. Choice D is incorrect because cutaneous lesions in neurofibromatosis are typically not painful.
Question 2 of 5
The physician has ordered for the nurse to obtain a sputum specimen. The nurse understands that the sputum specimen should be collected:
Correct Answer: D
Rationale: The correct answer is D, to collect the sputum specimen before the first dose of antibiotics. This is because antibiotics can alter the composition of sputum, affecting test results. By collecting the specimen before antibiotic administration, the nurse ensures the sample is not contaminated. Choice A is incorrect as antibiotics can affect sputum composition. Choice B is incorrect as waiting 30 minutes after antibiotic administration still allows time for the drug to affect the sputum. Choice C is incorrect as administering antibiotics during sputum collection can contaminate the sample.
Question 3 of 5
A postoperative client is preparing for discharge. A home health nurse has been scheduled to call on the client in two days. The client tires easily and voices an inability to concentrate on all of the information the nurse is attempting to review. Which of the subjects concerning the client's condition and home care may be deferred for the home health nurse?
Correct Answer: B
Rationale: The correct answer is B because discussing the activities during the four-week checkup with the physician can be deferred to the home health nurse as it is not immediately essential for the client's immediate postoperative care and discharge. The focus should be on ensuring the client understands crucial information for their immediate care, such as the recommended diet and potential adverse reactions of medications. These topics directly impact the client's recovery and safety. Discussing the actions of prescribed medications is also crucial for the client's ongoing care and should not be deferred. Therefore, choice B is the most appropriate subject to defer to the home health nurse.
Question 4 of 5
A client hospitalized for diagnostic testing reports an intense fear of being found to have a terminal condition. What response by the nurse will be most therapeutic?
Correct Answer: C
Rationale: Rationale: Choice C is the most therapeutic response as it acknowledges the client's fear, opens up communication about their condition, and encourages them to share information from their doctor. This response demonstrates empathy, validates the client's feelings, and promotes an open dialogue to address their concerns. Choices A and B dismiss or ignore the client's feelings, which can worsen the client's anxiety. Choice D focuses on symptoms rather than the client's emotional distress, missing the opportunity to explore the client's fears and provide emotional support.
Question 5 of 5
When providing education to a client concerning breast self-examinations, the client asks what days are best to perform the examination. What information should be included in the response given to the client?
Correct Answer: D
Rationale: The correct answer is D: The examination is best performed after the menstrual period because breasts are least likely to be tender or swollen at this time, making it easier to detect any abnormalities. Performing the examination right after the period also ensures a consistent time each month. A: It does matter what day the examination is performed as timing can impact the accuracy of the examination. B: Performing the examination on the first day of the menstrual period may not be ideal as breasts can be more tender and swollen during this time, potentially affecting the accuracy of the examination. C: Performing the examination in the days just prior to the menstrual period may also not be ideal as breasts tend to be more tender and swollen during this time, making it harder to detect abnormalities.