patho exam 2 practice questions

A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion? Pain Pruritus Purplish in color Purulent drainage

purplish in color

A nurse is developing a plan of care for client who has cellulitis of the leg. Which of the following interventions should the nurse include in the plan? Enforce strict bedrest for 3 days Apply fresh ice packs every 4 hours Elevate the affected leg on two pillows Apply antibiotic ointment to the wound with dressing change

Elevate the affected leg on two pillows

Capillary walls consist of 2-3 epithelial layers T/F

False

Disinfectant is used to clean living tissues T/F

False

Infections in a burn patient are typically caused by skin grafts T/F

False

Leukocytosis is present due to immunosuppression. T/F

False

Psoriasis changes the skin by basal cell degeneration T/F

False

A nurse is caring for a client who received a diagnosis of the systemic scleroderma 5 years ago. The nurse plans to assess the clients to document the disease's progression. In addition to skin changes, which of the following findings should the nurse expect? Periorbital edema Excessive salivation Finger Contractures Thinning of the skin

Fingers contractures

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition? Firmly attached white particles on the hair Itching and scratching of the head Patchy area of hair loss Thick yellow crusted lesion on a red base

Firmly attached white particles on the hair

With which condition would you use ultraviolet light or 'woods lamp' to diagnosis? Fungal or parasitic infection Bacterial Viral Cancerous

Fungal or parasitic infection

Burn that destroys the dermis

Deep partial thickness burn

A nurse in a provider's office is assessing a client who has AIDS. The nurse notes that the client has multiple widespread and raised purplish-brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions? Actinic keratosis Kaposi's sarcoma Toxic epidermal necrosis Basal cell carcinoma

Kaposi's sarcoma

Which of these skin legions best fits this description: small, flat, circumscribed lesion of a different color than the normal skin Ulcer Macule Crust Vesicle

Macule

What is not a typical sign of sickle cell anemia?

Petechia

A nurse in a provider's office is caring for a client who has a new diagnosis of tine media. Which of the following findings should the nurse expect? Report of recent exposure to poison ivy Scaling and redness between the clients toes Circular, erythematous patches on the scalp Report of a recent prescription for an anti-seizure medication

Scaling and redness between the clients toes

Pernicious anemia causes numbness and tingling in fingers because of what

peripheral nerve demyelination

A school nurse identifies that a child has pediculosis captious and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching? "All recently used clothing, bedding, towels should be washed in hot water" "My child must be free from nits before returning to school" "I will treat all the family members to be on the safe side" "Toys that can't be dry cleaned or washed must be thrown out"

"All recently used clothing, bedding, towels should be washed in hot water"

A nurse is providing teaching to a client who has a prescription for heat therapy for treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching? "I will sit on the side of the tub and soak my right leg two times every day" "Ill keep a heating pad on the calf of my right leg when I am lying down" "Il place my leg under a heat map every 3 hours" "Ill wrap a warm, wet towel round my right calf every 4 hours"

"Ill wrap a warm, wet towel round my right calf every 4 hours"

A nurse is teaching a client about a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching? "Transmission of the daisies will not occur when my lesions are gone" "Abstaining from sexual activity reduces the risk of transmission of the disease" "The use of condoms will reduce the risk of transmission" "Antiviral medications will not cure the infection"

"Transmission of the daisies will not occur when my lesions are gone"

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A negative pressure isolation room A semi private room A positive pressure room A private room

A private room

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what the infection is commonly called. The nurse should respond with which of the following names? Shingles Athletes Foot Fever Blister Valley Fever

Athletes Foot

A nurse is caring for an adult who has atopic dermatitis. Which of the following findings should the nurse expect? Acute rash following plant allergen exposure Chronic rash with the skin Curving white ridges between the fingers Visible nits on the scalp area

Chronic rash with the skin

Staphlyococcus aureus sally cause what lesion

boils

Staphylococci and stretococci are normally found in what body compartment?

lungs

A nurse is teaching a client who has herpes virus 2 about disease transmission. Which of the following statements by the client indicates understanding of the teaching? "It is not contagious after the blisters rupture" "I will take medication to prevent more sores" "Itching or tingling at the site can occur where the blister forms" "It is okay to share towels if it belongs to a family member"

"Itching or tingling at the site can occur where the blister forms"

A person who is contagious duet infected hands is considered a carrier T/F

False

B lymphocytes are target cells for HIV T/F

False

ALL is the most common childhood leukemia T/F

True

The second step in the healing process is when phagocytes remove foreign material and cellular debris T/F

True

A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma? Female gender Age of 19 to 30 Dark hair History of chronic skin irritation

history of chronic skin irritation

What does polycythemia cause

hypervolemia

CD-4 T-cells cause

immune system activity

Severe anemia causes oral ulcerations due to what

lack of oxygen to epithelial cell metabolism

A nurse is teaching a client who has a new prescription for topical betanethasone to treat contact dermatitis. Which of the following instructions should the nurse include. "Cover areas of excoriated skin with cream" "Use hot water to soothe the lesions" "Cover areas with an occlusive dressing after application" "Use the cream for a few days after the are has healed"

"Use the cream for a few days after the are has healed"

A nurse is teaching a client who has a new diagnosis of atopic dermatitis. Which of the following statements should the nurse include in the teaching? "You will need to take the entire prescription even if your condition improves" "Your provider may recommend a daily antihistamine to help control your symptoms" "You should cleanse your mouth daily with a prescribed mouthwash" "Your provider will remove the lesion with solid carbon dioxide"

"Your provider may recommend a daily antihistamine to help control your symptoms"

A nurse is Carin for a client ho has herpes zester. Which of the following should the nurse expect? Multiple furuncles locked on the clients back Different sizes papules in the genital area Painful lesions following a nerve pathway Patches scattered across the torso

Painful lesions following a nerve pathway

A school nurse is teaching a group of nurses newly hired to work in the school system about pedicuolisis capitis. Which of the following information is appropriate to include in the teaching? Family pets can contribute to the transmission of lice Children from lower socioeconomic areas are more likely to have lice Nits that are shed into the environment are capable of hatching for up to 10 days Infestation often appears as a grayish brown, threadlike burrows along the skin behind the ears.

Nits that are shed into the environment are capable of hatching for up to 10 days

A nurse is caring for a client who has pruritus following treatment for scabies. Which of the following actions should the nurse take? Apple additional scabicide to the affected area Assist the client to take a hot shower Provide mittens for the client to wear at night Encourage the client to gently rub the affected area

Provide mittens for the client to wear at night

A school nurse is performing a routine health assessment for a school age child. Which of the following findings indicates the nurse should investigate for pediculosis capitis? Red patches on the scalp Blisters on the scalp Pruritus of the scalp Dry patches on the scalp

Pruritus of the scalp

A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the following is an expected finding? Report of exposure to the skin irritant Denial of pruritus Systemic symptoms including elevated temperature Report of generalized joint discomfort

Report of exposure to the skin irritant

Type O blood contains A and B antigens T/F

True

Vitamin K is not needed in making hemoglobin T/F

True

Von Willebrand disease is caused by platelets inability to clump and stick T/F

True

A nurse is preparing to teach a parent how to care for child who has impetigo contagiosa. Which of the following information should the nurse plan include in the teaching? Keep the child on droplet precautions at home Wash clothing in hot water Immunize household contacts for the disease Give the child a chlorine bath twice daily

Wash clothing in hot water

A nurse is assessing a client who has a viral rhinitis and a history of herpes simplex virus type 1 lesions. The nurse should assess which of the following areas of the body for the reassurance of HSV-1 lesions? mouth genitalia extremities scalp

mouth