CH60 - Integument, Questions

Which of the following describes a total absence of pigment melanin? a) Albinism b) Anemia c) Vitiligo d) Cyanosis

a) Albinism

The nurse is differentiating between a macule and a papule when evaluating a patient's skin lesion. The nurse determines that the lesion is a papule when which of the following is noted? a) Elevated and palpable b) Flat skin color change c) Greater than 1 cm in diameter d) Circumscribed border

a) Elevated and palpable

When the nurse is assessing the skin of a patient with tinea pedis, a linear crack is noted. This is documented by the nurse as which of the following? a) Fissure b) Erosion c) Ulcer d) Scale

a) Fissure

A patient with a history of chronic respiratory illness exhibits nail clubbing. The nurse interprets this finding as indicating which of the following? a) Hypoxia b) Anemia c) Local trauma d) Psoriasis

a) Hypoxia

The nurse observes an African-American patient with a large hypertrophied area of scar tissue on the left ear lobe. What does the nurse document this finding as? a) Keloid b) Lichenification c) Atrophy d) Scar

a) Keloid

Which of the following observations helps the nurse in determining adequate oxygenation? a) Pink nail beds b) Hard keratin c) Capillary refill time d) Appearance of lunula

a) Pink nail beds

A client has a boil that is located in the left axillary area and is elevated with a raised border, and filled with pus. How would the nurse document this type of lesion? a) Pustule b) Vesicle c) Macule d) Cyst

a) Pustule

A client is coming to the office to have a growth removed by the doctor. The client asks "What does cryosurgery do to the growth?" What is the correct response? a) Through the application of extreme cold, the tissue is destroyed. b) Lasers the growth off c) Freezes the growth, so the physician can remove it at the next appointment d) Removes the entire growth

a) Through the application of extreme cold, the tissue is destroyed.

A 10-year-old client is being seen at the physician's office for a follow-up from his upper respiratory infection. As he presents his latest artwork to his family doctor, he asks the doctor about the "lump of skin" on his right longest digit—his coloring hand. What is the pathophysiology behind his lump? Choose all correct options. a) Callus b) Accelerated epidermal cell production c) Blister d) Wounding e) Hypertrophy

b) Accelerated epidermal cell production a) Callus

During a routine examination of a client's fingernails, the nurse notes a horizontal depression in each nail plate. When documenting this finding, the nurse should use which term? a) Clubbing b) Beau's line c) Paronychia d) Splinter hemorrhage

b) Beau's line

The nurse is assessing the integumentary system of a female patient with Cushing's syndrome. The nurse anticipates which of the following findings? a) Alopecia b) Hirsutism c) Jaundice d) Hyperpigmentation

b) Hirsutism

A patient is visiting the physician to determine what type of allergy is causing a rash. What type of testing does the nurse anticipate the physician will schedule? a) Skin scrapings b) Patch test c) Tzanck smear d) Skin biopsy

b) Patch test

A 15-year-old pubescent boy is visiting a primary care group for a sports physical for high school. Findings on the face and body indicate that the client is overproducing sebum, which is consistent with his age. What is the primary function of sebum? a) Contributes to acidity of perspiration to decrease microbial growth b) Prevents drying and cracking of the skin and hair c) Trapping debris in the external ear d) Cooling overwarm skin

b) Prevents drying and cracking of the skin and hair

The nurse assesses a patient with silvery-white, thick scales on the scalp, elbows, and hand that bleed when picked off. What does the nurse suspect that this patient may have? a) Vitiligo b) Psoriasis c) Petechia d) Melanoma

b) Psoriasis

The purpose of melanin is: a) To assist in transfer of heat through contact b) To determine skin color c) To form a callus where the skin is subjected to friction d) To prevent drying and cracking of the skin and hair

b) To determine skin color

The nurse notes that the patient demonstrates generalized pallor and recognizes that this finding may be indicative of a) Albinism b) Local arterial insufficiency c) Anemia d) Vitiligo

c) Anemia

A patient's skin is examined and the nurse notes the presence of herpes simplex/zoster skin lesions. The nurse describes the lesions as: a) Pus-filled vesicles. b) Palpable, solid tumors >3 cm. c) Circumscribed and elevated masses >0.5 cm. d) Flat macules with irregular borders.

c) Circumscribed and elevated masses >0.5 cm.

A client has an elevated temperature. The nurse is applying a cool compress to his forehead. This is an example of which of the following types of heat loss? a) Convection b) Evaporation c) Conduction d) Radiation

c) Conduction

All of the following are categories of medications used for treatment of the skin except: a) Topical corticosteroids b) Antihistamines c) Inhaled steroids d) Antibiotics

c) Inhaled steroids

Which of the following is a factor that causes wrinkles among older adults? a) Decrease in melanin b) Decrease in the production of estrogen c) Loss of the subcutaneous tissue d) Decrease in sebum

c) Loss of the subcutaneous tissue

Which of the following could be a possible cause of cyanosis? a) Anemia b) Fever c) Low tissue oxygenation d) Carbon monoxide poisoning

c) Low tissue oxygenation

The nurse is caring for a patient with dark skin who is having gastrointestinal bleeding. How can the nurse determine from skin color change that shock may be present? a) The skin is dusky blue. b) The skin is reddish pink. c) The skin is ashen gray and dull. d) The skin is whitish pink.

c) The skin is ashen gray and dull.

The nurse is reading the physician's report of an elderly patient's physical examination. The patient demonstrates xanthelasma, which refers to which of the following symptoms? a) Dark discoloration of the skin b) Liver spots c) Yellowish waxy deposits on upper eyelids d) Bright red moles

c) Yellowish waxy deposits on upper eyelids

The nurse documents the skin color change of a dark-skinned African American patient in cardiogenic shock as: a) Whitish pink. b) Reddish pink. c) Dusky blue. d) Ashen gray and dull.

d) Ashen gray and dull.

During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the following is the correct indication of this sign? a) Sebum deficiency b) Protein deficiency c) Dehydration d) Fluid retention

d) Fluid retention

Which of the following actions helps the nurse to determine the quality of the skin turgor? a) Inspecting the palmar surface b) Placing the dorsum of the hand on the surface of the skin c) Palpating the skin d) Grasping the skin

d) Grasping the skin

The nurse is performing a physical examination of a patient and observes a well-healed old scar on the right shoulder. The scar is hypertrophied, elevated, and irregular without any redness or irritation. The patient states, "I had shoulder surgery about 5 years ago." The nurse documents this finding as which of the following? a) Nodule b) Lichenification c) Cicatrix d) Keloid

d) Keloid

The nurse is preparing to perform a Wood's light examination. Which of the following would be most important for the nurse to do? a) Protect the patient from the light. b) Obtain samples of the lesion by scraping. c) Apply a special dye to the area. d) Make sure that the room is darkened.

d) Make sure that the room is darkened.