ATI RN
Questions on the Integumentary System Questions
Question 1 of 5
Which statements characterize malignant melanomas (select one that does not apply)?
Correct Answer: A
Rationale: The correct answer is A because malignant melanomas typically present as non-keratotic and soft lesions. Choice B is correct as melanomas arise from melanocytes. Choice C is correct as melanoma has a high mortality rate. Choice D is correct as melanomas often have irregular color and asymmetric shape.
Question 2 of 5
What is an appropriate intervention to promote debridement and removal of scales and crusts of skin lesions?
Correct Answer: A
Rationale: The correct answer is A: Warm oatmeal baths. Oatmeal has soothing properties and helps to soften scales and crusts, making it easier to remove them gently without causing further damage to the skin. The warm temperature of the bath also helps in loosening the scales. B: Warm saline dressings are more suitable for wound cleansing or promoting wound healing, not specifically for debridement of scales and crusts. C: Cool sodium bicarbonate baths may help with itching and inflammation but may not effectively promote the removal of scales and crusts. D: Cool magnesium sulfate dressings are more commonly used for wound healing and managing inflammation, not specifically for debridement of skin lesions.
Question 3 of 5
When assessing a suspicious skin lesion, you are looking for A—asymmetry, B—irregular borders, C—variegated colors, D—diameter, and E—:
Correct Answer: D
Rationale: The correct answer is D: Ever-changing. When assessing a suspicious skin lesion, the feature of ever-changing is crucial as it indicates the possibility of malignancy or skin cancer. Skin lesions that evolve or change in size, shape, color, or symptoms over time are concerning and require further evaluation. This feature is important for early detection and prompt treatment of skin cancers. A: Edema is not typically a characteristic feature of a suspicious skin lesion. B: Erythema refers to redness of the skin and is not specific to assessing skin lesions for malignancy. C: Elevation may or may not be present in a suspicious skin lesion and is not as significant as the feature of ever-changing. In summary, the correct answer, D: Ever-changing, is crucial in assessing suspicious skin lesions for possible malignancy, while the other choices are not as indicative of skin cancer.
Question 4 of 5
A postoperative patient develops cellulitis in the leg. Nursing treatments would include:
Correct Answer: A
Rationale: Rationale: 1. Keeping the affected leg elevated helps reduce swelling by promoting venous return. 2. Elevation helps decrease inflammation and discomfort in cellulitis. 3. It aids in preventing further spread of infection. 4. Encouraging ambulation (B) and applying ice (C) can worsen the condition by increasing inflammation and risk of spread. Moisturizing lotion (D) does not address the underlying infection or swelling.
Question 5 of 5
Treatment of psoriasis includes
Correct Answer: A
Rationale: The correct answer is A: topical therapy. Psoriasis is a chronic skin condition characterized by inflammation and rapid skin cell growth. Topical therapies like corticosteroids, vitamin D analogs, and retinoids are commonly used to reduce inflammation and slow down skin cell growth. This approach targets the affected skin directly, providing relief and improving symptoms. Systemic steroid therapy (choice B) is generally reserved for severe cases due to potential side effects. Surgical debridement (choice C) is not a standard treatment for psoriasis, as it involves removing damaged tissue. Removing the causative factor (choice D) can help in some cases, but psoriasis is a complex condition influenced by genetics, immune system dysfunction, and environmental factors, making it challenging to pinpoint a single cause.