ATI MED SURG INTEGUMENTARY EXAM STUDY GUIDE-QUESTIONS WITH ALL CORRECT ANSWERS
1. A client has had a basal cell carcinoma removed by surgical excision. The nurse should remind the client to watch for indications of potential
malignancy in other moles, including which of the following? ✔️- Ulceration (Ulceration, bleeding, or exudations are indications of a moles
potential malignancy. Size increasing is another indication.)
2. A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn wounds twice daily. After 3 days of treatment, the
nurse suspects an adverse reaction to the medication when the client develops which of the following? ✔️Luekopenia (is a decrease in WBC
(leukocytes) which increases individuals risk for infection.)
3. A client with an undiagnosed lesion on the back of his right hand is concerned about the possibility of skin cancer. When the client asks what
the most serious type of skin cancer is, the nurse responds based on the knowledge that most malignant tumors are. ✔️Melanoma (are
malignant neoplasm with atypical melanocytes in both the epidermis and the dermis. It is the most lethal type of skin cancer, often causing
metastasis "spreads" in bone, live, lungs, spleen, CNS, and lymph nodes)
4. A nurse reinforces teaching to a wheelchair bound client to reduce the risk of pressure ulcer formation by reminding the client to do which of
the following? ✔️-Shift the weight every 15 minutes
5. A client is brought to the emergency department with severe frostbite. The nurse knows the burned appearance of frostbitten tissue is a
direct result of which of the following? ✔️-Red blood cell aggregation with microvascula occlusion. (as blood reachs freezing temps, RBC
aggregate, or clump together. This causes occlusion of small blood vessel and leads to a loss of superficial blood flow, and causes the
discoloration. Which is a partial thickness burn.)
6. A client is about to undergo a biopsy of 6 mm, bluish-red lesion. In addition to a thorough skin examination, the nurse knows the most critical
data to collect at this time should be the status of the client's? ✔️-Regional lymph nodes ( the description of the lesion suggest a malignant
melanoma. The examination should include the palpation of the regional lymph nodes near the lesion.)
7. To promote healing for a client with a large wound healing by secondary intention, the nurse recommends a diet high in protein and which of
the following? ✔️- Vitamin C (helps in the process of wound healing)
10. A client is admitted for treatment of malignant melanoma of the left upper leg. Initially, the nurse plans to prepare the client for which of
the following? ✔️-Surgical excision (the therapeutic approach to malignant melanoma depends on the level of invasion and the depth of the
lesion. Surgical excision is the treatment of choice for small, superficial lesions. Deeper lesions require wide local excision, after which skin
grafting may be needed.)
8. A client comes to the clinic reporting skin lesions. The nurse assesses the lesions and notes that they are .5cm in size, elevated, and solid,
with very distinct borders. Based on the findings, which of the following should the nurse document the presence of? ✔️-Papules (a papule is a
small, solid, elevated lesion with distinct boarders. It is usually smaller than 10mm in diameter. Papules are common lesions of acne, and warts
can also be papules.)
9. A nurse is bathing a client with burn injuries in a hydrotherapy tub. The nurse limits the clients hydrotherapy sessions to no more than 30 min
to ✔️-Minimize sodium loss (water used in the hydrotherapy tubs is hypotonic. Prolonged periods of immersion increase the clients risk or
sodium loss.)
11. When targeting a group of clients for health teaching, the nurse should be aware that which group is at greatest risk for developing
malignant melanoma? ✔️- Clients who are fair-haired, fair-skinned, and of Celtic decent
12. A client with large healing deep partial thickness burn of the forearm and wrist is being discharged form the burn treatment clinic. Which of
the following should the nurse remind the client to avoid for a year? ✔️- Exposure to the sun (a deep partial burn is of the epidermis and some
level of the dermis. Which will cause scarring, exposure to the sun in the sun can cause more injury and scarring.)
A nurse is reinforcing information about a new prescription for corticosteroid cream with a client who has
mild psoriasis. Which of the following should the nurse include in the information? (Select all that apply.) ✔️A. CORRECT: An occlusive dressing
can enhance the efficacy of the topical corticosteroid on the
exposed lesions.
C. CORRECT: Gloves worn after the medication can enhance the efficacy of the topical corticosteroid
, on the exposed lesions of the hands.
D. CORRECT: Corticosteroid cream applied to lesions in skin folds increases the risk of yeast infections.
A nurse is reinforcing education with a female client on the use of calcipotriene (Dovonex) topical
medication for the treatment of psoriasis. Which of the following information should the nurse include?
(Select all that apply.) ✔️B. CORRECT: Calcipotriene causes stinging and burning sensations when applied to the lesions.
C. CORRECT: Calcipotriene solution is applied to scalp lesions.
D. CORRECT: Calcipotriene can cause birth defects. Female clients should obtain a pregnancy test
before using the medication.
E. CORRECT: Applying calcipotriene to skin folds can cause a possible local reaction of itching,
irritation, and erythema.
A nurse is reinforcing teaching with a client who has a history of psoriasis about photochemotherapy
and ultraviolet light (PUVA) treatments. Which of the following should the nurse include in the teaching? ✔️B. CORRECT: PUVA treatment
involves the administration of a medication, such as a psoralen, to
enhance photosensitivity
A nurse is reinforcing teaching with a client who has a prescription for methotrexate (Trexall) for severe
psoriasis. Which of the following information should the nurse include? ✔️B. CORRECT: The client should monitor for fever and sore throat,
which are signs of infection.
Methotrexate can cause blood dyscrasias such as leukopenia.
A nurse is collecting data from a client who has seborrheic keratosis on the forehead and nose. Which of
the following manifestations should the nurse expect to find? (Select all that apply.) ✔️A. CORRECT: Seborrheic keratosis lesions appear waxy in
texture.
B. CORRECT: Seborrheic keratoses are tan, brown, or black lesions that are rough and become
irritated due to friction.
D. INCORRECT: Seborrheic keratosis does not cause a purplish skin stain around the lesion.
E. CORRECT: A wartlike surface of the lesions is common for seborrheic keratosis, and the lesions are
removed for cosmetic reasons.
A patient has generalized macular-papular skin eruptions and complains of severe pruritus. When the nurse administers his therapeutic bath, it
is important to remember that * ✔️using Burow's solution helps promote healing
A patient, age 63, has cancer of the left breast. After a modified radical mastectomy, she has been receiving chemotherapy. Her grandson, who
visited a few days ago, now has varicella (chickenpox). The nurse should observe her carefully for signs of: * ✔️herpes zoster.
1. A client has had a basal cell carcinoma removed by surgical excision. The nurse should remind the client to watch for indications of potential
malignancy in other moles, including which of the following? ✔️- Ulceration (Ulceration, bleeding, or exudations are indications of a moles
potential malignancy. Size increasing is another indication.)
2. A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn wounds twice daily. After 3 days of treatment, the
nurse suspects an adverse reaction to the medication when the client develops which of the following? ✔️Luekopenia (is a decrease in WBC
(leukocytes) which increases individuals risk for infection.)
3. A client with an undiagnosed lesion on the back of his right hand is concerned about the possibility of skin cancer. When the client asks what
the most serious type of skin cancer is, the nurse responds based on the knowledge that most malignant tumors are. ✔️Melanoma (are
malignant neoplasm with atypical melanocytes in both the epidermis and the dermis. It is the most lethal type of skin cancer, often causing
metastasis "spreads" in bone, live, lungs, spleen, CNS, and lymph nodes)
4. A nurse reinforces teaching to a wheelchair bound client to reduce the risk of pressure ulcer formation by reminding the client to do which of
the following? ✔️-Shift the weight every 15 minutes
5. A client is brought to the emergency department with severe frostbite. The nurse knows the burned appearance of frostbitten tissue is a
direct result of which of the following? ✔️-Red blood cell aggregation with microvascula occlusion. (as blood reachs freezing temps, RBC
aggregate, or clump together. This causes occlusion of small blood vessel and leads to a loss of superficial blood flow, and causes the
discoloration. Which is a partial thickness burn.)
6. A client is about to undergo a biopsy of 6 mm, bluish-red lesion. In addition to a thorough skin examination, the nurse knows the most critical
data to collect at this time should be the status of the client's? ✔️-Regional lymph nodes ( the description of the lesion suggest a malignant
melanoma. The examination should include the palpation of the regional lymph nodes near the lesion.)
7. To promote healing for a client with a large wound healing by secondary intention, the nurse recommends a diet high in protein and which of
the following? ✔️- Vitamin C (helps in the process of wound healing)
10. A client is admitted for treatment of malignant melanoma of the left upper leg. Initially, the nurse plans to prepare the client for which of
the following? ✔️-Surgical excision (the therapeutic approach to malignant melanoma depends on the level of invasion and the depth of the
lesion. Surgical excision is the treatment of choice for small, superficial lesions. Deeper lesions require wide local excision, after which skin
grafting may be needed.)
8. A client comes to the clinic reporting skin lesions. The nurse assesses the lesions and notes that they are .5cm in size, elevated, and solid,
with very distinct borders. Based on the findings, which of the following should the nurse document the presence of? ✔️-Papules (a papule is a
small, solid, elevated lesion with distinct boarders. It is usually smaller than 10mm in diameter. Papules are common lesions of acne, and warts
can also be papules.)
9. A nurse is bathing a client with burn injuries in a hydrotherapy tub. The nurse limits the clients hydrotherapy sessions to no more than 30 min
to ✔️-Minimize sodium loss (water used in the hydrotherapy tubs is hypotonic. Prolonged periods of immersion increase the clients risk or
sodium loss.)
11. When targeting a group of clients for health teaching, the nurse should be aware that which group is at greatest risk for developing
malignant melanoma? ✔️- Clients who are fair-haired, fair-skinned, and of Celtic decent
12. A client with large healing deep partial thickness burn of the forearm and wrist is being discharged form the burn treatment clinic. Which of
the following should the nurse remind the client to avoid for a year? ✔️- Exposure to the sun (a deep partial burn is of the epidermis and some
level of the dermis. Which will cause scarring, exposure to the sun in the sun can cause more injury and scarring.)
A nurse is reinforcing information about a new prescription for corticosteroid cream with a client who has
mild psoriasis. Which of the following should the nurse include in the information? (Select all that apply.) ✔️A. CORRECT: An occlusive dressing
can enhance the efficacy of the topical corticosteroid on the
exposed lesions.
C. CORRECT: Gloves worn after the medication can enhance the efficacy of the topical corticosteroid
, on the exposed lesions of the hands.
D. CORRECT: Corticosteroid cream applied to lesions in skin folds increases the risk of yeast infections.
A nurse is reinforcing education with a female client on the use of calcipotriene (Dovonex) topical
medication for the treatment of psoriasis. Which of the following information should the nurse include?
(Select all that apply.) ✔️B. CORRECT: Calcipotriene causes stinging and burning sensations when applied to the lesions.
C. CORRECT: Calcipotriene solution is applied to scalp lesions.
D. CORRECT: Calcipotriene can cause birth defects. Female clients should obtain a pregnancy test
before using the medication.
E. CORRECT: Applying calcipotriene to skin folds can cause a possible local reaction of itching,
irritation, and erythema.
A nurse is reinforcing teaching with a client who has a history of psoriasis about photochemotherapy
and ultraviolet light (PUVA) treatments. Which of the following should the nurse include in the teaching? ✔️B. CORRECT: PUVA treatment
involves the administration of a medication, such as a psoralen, to
enhance photosensitivity
A nurse is reinforcing teaching with a client who has a prescription for methotrexate (Trexall) for severe
psoriasis. Which of the following information should the nurse include? ✔️B. CORRECT: The client should monitor for fever and sore throat,
which are signs of infection.
Methotrexate can cause blood dyscrasias such as leukopenia.
A nurse is collecting data from a client who has seborrheic keratosis on the forehead and nose. Which of
the following manifestations should the nurse expect to find? (Select all that apply.) ✔️A. CORRECT: Seborrheic keratosis lesions appear waxy in
texture.
B. CORRECT: Seborrheic keratoses are tan, brown, or black lesions that are rough and become
irritated due to friction.
D. INCORRECT: Seborrheic keratosis does not cause a purplish skin stain around the lesion.
E. CORRECT: A wartlike surface of the lesions is common for seborrheic keratosis, and the lesions are
removed for cosmetic reasons.
A patient has generalized macular-papular skin eruptions and complains of severe pruritus. When the nurse administers his therapeutic bath, it
is important to remember that * ✔️using Burow's solution helps promote healing
A patient, age 63, has cancer of the left breast. After a modified radical mastectomy, she has been receiving chemotherapy. Her grandson, who
visited a few days ago, now has varicella (chickenpox). The nurse should observe her carefully for signs of: * ✔️herpes zoster.
