Integumentary System of Pediatrics

ATI RN · Integumentary System of Pediatrics

Question 1 of 67

Identify the layer of the epidermis that contains constantly dividing cells.

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ATI RN · Integumentary System of Pediatrics

Question 2 of 67

A client is brought to the emergency room following a burn injury. In assessment the nurse notes that the client's eyebrow and nasal hairs are singed. The nurse would identify this type of burn as:

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ATI RN · Integumentary System of Pediatrics

Question 3 of 67

An adolescent female who is a cheerleader comes to you with a painful bump below her right knee. She denies fever or trauma. Which is the most likely diagnosis?

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ATI RN · Integumentary System of Pediatrics

Question 4 of 67

Scabies is transmitted only rarely by fomites because the isolated mite dies within

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ATI RN · Integumentary System of Pediatrics

Question 5 of 67

A community health nurse is providing a teaching session to firefighters in a small community regarding care to a victim at the scene of a burn injury. The community health nurse instructs the firefighters that in the event of a tar burn the immediate action would be to:

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ATI RN · Integumentary System of Pediatrics

Question 6 of 67

You are meeting parents of a 2-year-old boy with atopic dermatitis; you state that atopic dermatitis is a chronic inflammation that predisposes to the development of allergy. Of the following, this child is MOST frequently predisposed to development of

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ATI RN · Integumentary System of Pediatrics

Question 7 of 67

Which is the etiology of tinea versicolor?

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ATI RN · Integumentary System of Pediatrics

Question 8 of 67

Atopic dermatitis is characterized by an increased tendency toward bacterial, viral, and fungal skin infections. Of the following, the MOST potentially serious infection in atopic dermatitis is

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ATI RN · Integumentary System of Pediatrics

Question 9 of 67

Which of the following does NOT describe the dermis?

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ATI RN · Integumentary System of Pediatrics

Question 10 of 67

A well-appearing newborn has a lacy, reticulated, red and/or blue cutaneous pattern over most of the body, which is prominent when the neonate is in a cool environment. What is the diagnosis?

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ATI RN · Integumentary System of Pediatrics

Question 11 of 67

A client is in the health care clinic for complaints of pruritus. Following diagnostic studies, it has been determined that there is not a pathophysiological process causing the pruritus. The nurse prepares instructions for the client to assist in reducing the problem and tells the client to:

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ATI RN · Integumentary System of Pediatrics

Question 12 of 67

A 9-year-old girl develops plaque-type psoriasis involving the extensor surfaces of the elbow and knee joints, posterior occipital scalp, and lumbosacral region. Which of the following medications should be avoided for this girl?

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ATI RN · Integumentary System of Pediatrics

Question 13 of 67

Pityriasis alba occurs mainly in children and causes lesions that are

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ATI RN · Integumentary System of Pediatrics

Question 14 of 67

A 2-year-old child is brought to you because he refuses to use his right arm. Any attempt to touch it is met with a cry, and the child will not hold objects in his right hand. The mother denies trauma, but she did pull the child by the arm recently when he refused to go into an elevator. The most likely diagnosis is

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ATI RN · Integumentary System of Pediatrics

Question 15 of 67

A young child has gradually experienced unusual skin hyperelasticity and joint hypermobility. The skin snaps back into place when pulled. Which diagnosis is most likely?

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ATI RN · Integumentary System of Pediatrics

Question 16 of 67

On assessment of a child, the nurse notes the presence of white patches on the child's tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush):

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ATI RN · Integumentary System of Pediatrics

Question 17 of 67

Effective treatment of acne focuses on minimizing sebum production, hyperkeratosis, and bacterial proliferation. Of the following, the MOST effective treatment that can be used as monotherapy for acne is

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ATI RN · Integumentary System of Pediatrics

Question 18 of 67

Topical antibiotics have been used for many years to treat local cutaneous infections. Of the following, the MOST effective topical agents currently available is

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ATI RN · Integumentary System of Pediatrics

Question 19 of 67

When all the skin has been destroyed and the patient feels no immediate pain, this is a degree burn.

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ATI RN · Integumentary System of Pediatrics

Question 20 of 67

In the usual patient with infantile hemangiomas (IH) who has no serious complications or extensive growth resulting in tissue destruction and severe disfigurement, treatment consists of

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ATI RN · Integumentary System of Pediatrics

Question 21 of 67

A student nurse is instructed by the registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis was in the:

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ATI RN · Integumentary System of Pediatrics

Question 22 of 67

The ABCDE warning signs for melanoma are:

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ATI RN · Integumentary System of Pediatrics

Question 23 of 67

The client with acquired immunodeficiency syndrome (AIDS) is suspected of having cutaneous Kaposi's sarcoma. The nurse prepares the client for which test that will confirm the presence of this type of sarcoma?

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ATI RN · Integumentary System of Pediatrics

Question 24 of 67

The nodules MOST commonly seen in children are

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ATI RN · Integumentary System of Pediatrics

Question 25 of 67

Infiltrative or destructive disorders that may produce atrophy of sweat glands by pressure or scarring include the following EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 26 of 67

Hypohidrotic ectodermal dysplasia is characterized by the following EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 27 of 67

Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?

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ATI RN · Integumentary System of Pediatrics

Question 28 of 67

A 10-year-old girl experiences multiple hyperpigmented scaly plaques without a raised border. Which is the recommended treatment?

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ATI RN · Integumentary System of Pediatrics

Question 29 of 67

A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and lifethreatening dysfunctions have been addressed, the nurse reviews the physician's orders anticipating that which pain medication will be prescribed?

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ATI RN · Integumentary System of Pediatrics

Question 30 of 67

The hair matrix contains

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ATI RN · Integumentary System of Pediatrics

Question 31 of 67

All the following matching are true EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 32 of 67

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?

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ATI RN · Integumentary System of Pediatrics

Question 33 of 67

The skin is a membrane.

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ATI RN · Integumentary System of Pediatrics

Question 34 of 67

A rash that is visible but not palpable consists of small solitary lesions of 0.5-1 cm in diameter. Which term best describes these lesions?

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ATI RN · Integumentary System of Pediatrics

Question 35 of 67

The hypodermis is also known as the:

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ATI RN · Integumentary System of Pediatrics

Question 36 of 67

Match the condition with the appearance under the Wood lamp (ultraviolet light): Erythrasma

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ATI RN · Integumentary System of Pediatrics

Question 37 of 67

Nail growth is relatively slow; complete fingernail regrowth takes

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ATI RN · Integumentary System of Pediatrics

Question 38 of 67

Periungual fibromas that appear in late childhood should suggest a diagnosis of

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ATI RN · Integumentary System of Pediatrics

Question 39 of 67

The hallmark of Waardenburg type 1 is the

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ATI RN · Integumentary System of Pediatrics

Question 40 of 67

The cell of the epidermis that detects tactile sensations is the:

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ATI RN · Integumentary System of Pediatrics

Question 41 of 67

Nail anomalies are common in certain congenital disorders; large nails are seen in

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ATI RN · Integumentary System of Pediatrics

Question 42 of 67

The substance that lubricates skin and hair and weakens bacteria on the surface of the skin is:

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ATI RN · Integumentary System of Pediatrics

Question 43 of 67

All the following are risk factors for development of melanoma EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 44 of 67

Ichthyosis vulgaris is the most common of the disorders of keratinization; with an incidence of 1/250 live births. Onset generally occurs in the 1st yr of life. Scaling is MOST prominent on the

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ATI RN · Integumentary System of Pediatrics

Question 45 of 67

A primary lesion in dermatology is defined as the basic lesion that arise de novo. Of the following, the statement that is correctly defines primary lesion is

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ATI RN · Integumentary System of Pediatrics

Question 46 of 67

Which skin disorder is NOT matched correctly with its cause?

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ATI RN · Integumentary System of Pediatrics

Question 47 of 67

A client sustained full-thickness burns to both hands from scalding water. A sheet graft was surgically applied to the wounds. The nurse tells the client that this type of graft is indicated for which of the following primary purposes?

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ATI RN · Integumentary System of Pediatrics

Question 48 of 67

If you cut yourself and bacteria enter the wound, which of the following cells would help get rid of the bacteria?

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ATI RN · Integumentary System of Pediatrics

Question 49 of 67

A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky's sign. Based on this documentation, which of the following would the nurse expect to note?

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ATI RN · Integumentary System of Pediatrics

Question 50 of 67

Urticaria pigmentosa is the most common form of mastocytosis. It can be confused with the following EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 51 of 67

Which of the following is NOT a protective function of the skin?

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ATI RN · Integumentary System of Pediatrics

Question 52 of 67

Topical corticosteroids are the mainstay of anti-inflammatory therapy for atopic dermatitis. They are classified according to strength and potency from I to VII. Which of the following classes should be avoided in young children?

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ATI RN · Integumentary System of Pediatrics

Question 53 of 67

The replacement of elemental zinc for individuals with inherited acrodermatitis enteropathica is equal to

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ATI RN · Integumentary System of Pediatrics

Question 54 of 67

Which is the recommended treatment of pediculosis capitis (head lice)?

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ATI RN · Integumentary System of Pediatrics

Question 55 of 67

Seborrheic dermatitis is a common, chronic inflammatory disease that has different clinical presentations at different ages. Of the following, the classic seborrheic dermatitis during adolescence is typically localized to the

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ATI RN · Integumentary System of Pediatrics

Question 56 of 67

After a skin injury, the body initiates a wound-healing response. The first step of this response is the formation of a blood clot to stop bleeding. Which of the following would be the next response?

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ATI RN · Integumentary System of Pediatrics

Question 57 of 67

In humans, exposure of the skin to sunlight is required for

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ATI RN · Integumentary System of Pediatrics

Question 58 of 67

A 5-year-old boy develops a pruritic skin rash involving the lower extremities; he has a history of fever 1 week before that has been resolved spontaneously. Examination reveals many target lesions distributing symmetrically at knees, legs and feet; the outer layer of each lesion is red, the inner layer is purple, while the intermediate layer is white. Of the following, the MOST likely organism that may cause these target lesions is

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ATI RN · Integumentary System of Pediatrics

Question 59 of 67

The MOST common photosensitive reaction seen in children is acute sunburn, effective treatment of the desquamative phase is with

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ATI RN · Integumentary System of Pediatrics

Question 60 of 67

You are evaluating a 2-month-old male infant with extensive beard hemangioma involving the chin and jaw; he has no hoarseness of voice or stridor. Of the following, the NEXT step in the management of this infant is

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ATI RN · Integumentary System of Pediatrics

Question 61 of 67

A 12-year-old child presented with brawny edema of the face and neck that spreads rapidly to involve the thorax and arms. The face acquires a waxy, mask-like appearance. The involved areas feel indurated, woody, nonpitting, and are not sharply demarcated from normal skin. Of the following, the MOST likely diagnosis is

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ATI RN · Integumentary System of Pediatrics

Question 62 of 67

The papillary and reticular layers of the dermis are composed mainly of

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ATI RN · Integumentary System of Pediatrics

Question 63 of 67

Staphylococcal scalded skin syndrome is caused predominantly by phage group 2 staphylococci, particularly strains 71 and 55, which are present at localized sites of infection. Of the following, the MOST common focus of infection is

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ATI RN · Integumentary System of Pediatrics

Question 64 of 67

Dermatitis herpetiformis eruption is characterized by the following EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 65 of 67

All the following drugs can induce acneiform lesions in susceptible individuals EXCEPT

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ATI RN · Integumentary System of Pediatrics

Question 66 of 67

Which of the following is NOT associated with a hair follicle?

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ATI RN · Integumentary System of Pediatrics

Question 67 of 67

The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?

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