ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
Which of the following statements are correct regarding actinic keratosis?
Correct Answer: A
Rationale: The correct answer is A because actinic keratosis lesions typically present as scaly, rough patches on the skin. This is due to the abnormal thickening of the outer layer of the skin caused by sun damage. Choice B is incorrect as actinic keratosis is more common in individuals with fair skin due to their increased sensitivity to UV radiation. Choice C is incorrect as the key microscopic feature of actinic keratosis is the presence of dysplastic cells, not atypical dividing cells in the prickle cell layer. Choice D is incorrect as actinic keratosis can progress to squamous cell carcinoma, not basal cell carcinoma.
Question 2 of 5
The Rule of Nines refers to:
Correct Answer: B
Rationale: The Rule of Nines is a method used to estimate the total body surface area affected by burns in adults. It divides the body into regions, each representing 9% or multiples of 9% of the total body surface area. This helps determine the severity of the burn and guide treatment. Choice B is correct as it accurately reflects the application of the Rule of Nines in assessing burn percentage in adults. Choices A, C, and D are incorrect as the Rule of Nines specifically applies to adults and not children, and it does not refer to the depth of a burn but rather the extent of the burn injury.
Question 3 of 5
Which of the following manifestations indicates a systemic reaction associated with an inflammatory response?
Correct Answer: C
Rationale: The correct answer is C: Tachypnea (RR 26). Tachypnea, an increased respiratory rate, is a systemic manifestation of an inflammatory response due to the body's attempt to deliver more oxygen to tissues during inflammation. Erythema (choice A) is localized redness, pain (choice B) is a common symptom of inflammation at the site, and edema (choice D) is localized swelling, not a systemic response. Tachypnea is a systemic sign that reflects the body's overall response to inflammation.
Question 4 of 5
The home health nurse has identified a series of concerns while providing services to a client. During one of the visits, the nurse becomes concerned about criminal activity in the home. What initial action by the nurse is most appropriate?
Correct Answer: C
Rationale: The most appropriate initial action for the nurse in this scenario is to leave the home. This is the correct answer because the nurse's safety should be the top priority. By leaving the potentially dangerous situation, the nurse can ensure their own well-being and then take appropriate steps to address the concerns. Dialing 911 or advising the client to leave the home could escalate the situation and put the nurse at risk. Contacting the physician may not provide immediate assistance in this urgent situation. In summary, leaving the home allows the nurse to prioritize safety and seek help or resources to address the concerns in a safer environment.
Question 5 of 5
A group of students is attending an in-service about do-not-resuscitate orders. Which of the following statements by one of the students indicate the need for further teaching?
Correct Answer: A
Rationale: The correct answer is A: "Do-not-resuscitate orders are a form of euthanasia and I can just participate in a slow code if not completed." This statement is incorrect because do-not-resuscitate orders are not a form of euthanasia. Euthanasia involves intentionally ending a patient's life, while DNR orders allow for a natural death without resuscitative measures. Additionally, participating in a "slow code" is unethical and not an appropriate response to a DNR order. Choices B and C are correct statements. B: "My nursing license will not be in jeopardy if I follow do-not-resuscitate orders" is true as long as the nurse follows legal and ethical guidelines. C: "Do-not-resuscitate orders may be rescinded if the client wishes" is also accurate as patients have the right to change their preferences regarding resuscitative measures.