ATI LPN
Integumentary System Test Questions Questions
Question 1 of 5
Which of the following statements are correct regarding Marjolin's ulcer?
Correct Answer: A
Rationale: Marjolin's ulcers refer to malignant changes occurring in chronic wounds, scars, or sinus tracts.
Question 2 of 5
First aid for minor burns of the limbs includes:
Correct Answer: D
Rationale: Placing the affected limb under cold running water helps reduce heat and soothe the burn.
Question 3 of 5
Which of the following manifestations would the nurse expect to see with a client who has had previous knee surgery who suffered a surgical infection with signs of systemic manifestations?
Correct Answer: A
Rationale: The client is post-surgical repair of the knee. The nurse should be able to distinguish between local reactions and systemic reactions. An elevated WBC and 10 % bands are indicative of an infection. Vital sign changes typically associated with an infection include an elevation in temperature and tachycardia. Local manifestations include erythema, warmth, pain, edema, and functional impairment, whereas systemic manifestations include elevated temperature above 100.4°F, pulse greater than 90min, respiratory rate greater than 20, and WBC greater than 12,000 mm³ or 10 % bands.
Question 4 of 5
The nurse is assessing the client's perception of safety issues in the home. Which of the following questions and statements will best assist the nurse in obtaining the needed data?
Correct Answer: C
Rationale: Open-ended questions or statements like "Please tell me some safety concerns you have" yield the most information directly related to the client's perception of safety.
Question 5 of 5
When assessing a 75-year-old client, which findings would require immediate action by the nurse? A statement about:
Correct Answer: D
Rationale: Frequent falls indicate significant vision changes (e.g., macular degeneration or depth perception issues) requiring immediate action to prevent injury and preserve vision.