Integumentary quiz

Which of the following is the term for the transfer of heat from the body to a cooler object in contact with it? a) Conduction b) Evaporation c) Radiation d) Lichenification

A. conduction

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) Fluid retention b) Dehydration c) Sebum deficiency d) Protein deficiency

A. fluid retention

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) Psoriasis c) Local trauma d) Anemia

A. hypoxia

Pressure sores are categorized into one of four stages depending on the extent of injury. Which phase is described as "the pressure sore is red and accompanied by blistering or a shallow break in the skin, sometimes described as a skin tear. Impairment of the skin leads to microbial colonization and infection of the wound"? a) Stage II b) Stage IV c) Stage I d) Stage III

A. stage II

Which of the following areas are recommended to assess skin turgor in the elderly a) Sternum b) Trunk c) Back d) Elbow

A. sternum

A 65-year-old male client often feels cold. He visits a healthcare facility and wants to know the reason. What reason should the nurse provide in her response to the client? a) Epidermal turnover decreases in elderly people. b) Elderly people have less subcutaneous fat. c) The skin of an elderly person tends to be more fragile. d) Elderly people usually have impaired circulation.

B. elderly people have less subcutaneous fat

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

B. inhaled steroids

Which portion of the skin is primarily composed of connective tissue and fat cells? a) Epidermis b) Subcutaneous tissue c) Dermis d) Keratin

B. subcutaneous tissue

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) Splinter hemorrhage b) Clubbing c) Beau's line d) Paronychia

C. beaus line

A client has joined a rowing team and has been enjoying the activity for approximately 1 month. The client comes to the clinic for a routine physical examination and shows the nurse the hands, which are observed to have thickened areas in several areas. What does the nurse recognize these are in response to the repeated friction of the oars? a) Senile keratosis b) Rheumatoid nodules c) Calluses d) Senile lentigines

C. calluses

Of the following findings from a nail assessment, which are considered abnormal? Select all that apply. a) Pink color b) Capillary refill time 2 seconds c) Clubbing d) Spooning

C. clubbing D. spooning

Which of the following instructions does the nurse give a client when antibiotic, antiviral, or antifungal agents are prescribed? a) Do not expose to sunlight until the entire course of the drug is completed. b) Mix the drug in food to ensure easy administration. c) Complete the entire course of the drug, even if the conditions clear. d) Keep medications locked in a cupboard.

C. complete the entire course of drug, even if the conditions clear

Which layer of the skin is made up, in part, of blood and lymph vessels, nerves, sweat and sebaceous glands, and hair roots? a) Reticular layer b) Epidermis c) Dermis d) Subcutaneous layer

C. dermis

A little boy is brought to the school nurse after falling off a swing. The nurse is documenting that the patient has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in her documentation? a) Urticaria b) Telangiectasias c) Ecchymoses d) Purpura

C. ecchymosis

A 57-year-old homeless man arrives confused, disoriented, and in severe need of hygiene measures. The results of his diagnostic laboratory tests reveal out-of-control diabetes mellitus and malnutrition. As you perform overall hygiene before sending him up to the unit where he'll be admitted, you perform a head-to-toe skin assessment. Which of the following options would you expect to find in a "within normal limit" skin assessment? Choose all correct options. a) Tenting b) Bluish c) Intact d) Warm e) Dry

C. intact D. warm E. dry

The nurse and nursing assistant are moving a client whoslid down in the chair. What does the nurse encourage the assistant to avoid shearing when moving the client to a higher position in the chair? a) Encourage the client to slide up without assistance. b) Tilt the chair back when moving the client. c) Lift the client, do not slide them. d) Use a donut device while the client is in the chair.

C. lift the client do not slide them

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

C. low tissue oxygenation

While waiting to see the physician the patient shows the nurse skin areas that are flat, nonpalpable, and have had a change of color. The nurse recognizes that the patient is demonstrating what? a) Vesicles b) Pustules c) Macules d) Papules

C. macules

Which of the following pigments influences hair color? a) Sebum b) Pheromones c) Melanin d) Keratin

C. melanin

When assessing an African American patient for cyanosis, the nurse should evaluate which of the following areas? a) Sclera b) Nose c) Oral mucosa d) Fingernails

C. oral mucosa

An older adult client's skin has become dry and flaked. Which of the following is the cause of this condition? a) Reduction in the elasticity of the skin b) Reduction in estrogen production c) Reduction in sebum production d) Reduction in melanin production

C. reduction in sebum production

The nursing student is learning about the elderly. The instructor is discussing physical changes. What would the instructor tell the student about common changes in the skin associated with the aging process? a) The elderly have increased hair distribution. b) The elderly have decreased xerosis. c) The elderly have skin atrophy. d) The elderly have thickened skin.

C. the elderly have skin atrophy

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

D. anemia

Which of the following is the principal hardening ingredient of the hair and nails? a) Merkel cell b) Sebaceous gland c) Melanin d) Keratin

D. keratin

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) Cyst b) Vesicle c) Macule d) Pustule

D. pustule