ATI LPN
NCLEX Questions on Integumentary System Questions
Question 1 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.
Question 2 of 5
A client returns to the clinic for a follow-up treatment following a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicated that the lesion is a squamous cell carcinoma. The nurse plans care knowing that which of the following describes the characteristic of this type of a lesion?
Correct Answer: C
Rationale: Squamous cell carcinoma typically invades locally but metastasizes less frequently than melanoma.
Question 3 of 5
A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?
Correct Answer: C
Rationale: Antibody tests for Lyme disease are unreliable shortly after a bite; 4-6 weeks allows seroconversion for accurate results.
Question 4 of 5
A patient reports chronic itching of the ankles and cannot keep from continuously scratching them. The nurse will plan to implement interventions to decrease the risk for
Correct Answer: C
Rationale: Lichenification is likely to occur in areas where the patient scratches the skin frequently. Scratching is not a risk factor for skin atrophy, keloid formation, and varicosities.
Question 5 of 5
A wound care nurse is reviewing skin anatomy with a group of medical nurses. Which area of the skin would the nurse identify as providing a cushion between the skin layers, muscles, and bones?
Correct Answer: B
Rationale: The subcutaneous tissue, or hypodermis, is the innermost layer of the skin that is responsible for providing a cushion between the skin layers, muscles, and bones.