ATI LPN
NCLEX Questions on Integumentary System Questions
Question 1 of 5
Which signs/symptoms should the nurse expect to assess in the client diagnosed with an insulinoma?
Correct Answer: A
Rationale: Insulinomas cause hypoglycemia, leading to nervousness, jitteriness, and sweating.
Question 2 of 5
The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. Which client complaint would be characteristic of this disorder?
Correct Answer: A
Rationale: Hyperparathyroidism causes hypercalcemia, leading to polyuria due to impaired kidney concentration. Bone pain is also common, but polyuria is a hallmark symptom.
Question 3 of 5
A 30-year-old African American had surgery 6 months ago and the incision site is now raised, indurated, and shiny. This is most likely which type of tissue growth?
Correct Answer: B
Rationale: Keloids, which originate in scars, are hard and shiny and are seen more often in African Americans than in whites.
Question 4 of 5
What should a patient be assessed for upon the diagnosis of genital herpes?
Correct Answer: C
Rationale: Persons with genital herpes should be assessed for HIV because the therapy for herpes is suppressive; persons with HIV are not candidates for suppressant therapy.
Question 5 of 5
While bathing a patient, the nurse discovers a grayish black, nodular growth that resembles a blackberry in the middle of the patient's back. What action should the nurse take?
Correct Answer: A
Rationale: These findings are consistent with a nodular malignant melanoma. This lesion should be evaluated by the physician and removed immediately once the diagnosis is confirmed. Teaching the patient to assess for changes is a lesser priority action. Actinic keratoses are not consistent with these findings but instead appear on fair-skinned people as small, scaly, red, or grayish papules. Biopsy is required before any diagnosis can be confirmed, at which time the physician should disclose the results.