Question 1

Which of the following burns is most painful?

Accepted Answer

A)  First degree 
B)  Second degree 
C)  Charring 
D)  Third degree 
A)  First degree 
B)  Second degree 
C)  Charring 
D)  Third degree

Question 2

A 25-year-old paralyzed male develops a dermal pressure ulcer.When assessing the patient's skin, which finding is the first indication of this ulcer?

Accepted Answer

A)  Redness 
B)  Whiteness 
C)  Indurations 
D)  Ulceration 
A)  Redness 
B)  Whiteness 
C)  Indurations 
D)  Ulceration

Question 3

A client is burned through all the dermis with only a few epidermal appendages intact.This burn is classified as:

Accepted Answer

A)  first degree. 
B)  superficial partial-thickness. 
C)  deep partial-thickness. 
D)  third degree. 
A)  first degree. 
B)  superficial partial-thickness. 
C)  deep partial-thickness. 
D)  third degree.

Question 4

A 27-year-old male lung transplant patient developed Kaposi sarcoma (KS).The nurse knows that the cause of this patient's KS is most likely related to the fact that the patient:

Accepted Answer

A)  is malnourished. 
B)  was exposed to hepatitis B. 
C)  is immunosuppressed. 
D)  was diagnosed with cystic fibrosis. 
A)  is malnourished. 
B)  was exposed to hepatitis B. 
C)  is immunosuppressed. 
D)  was diagnosed with cystic fibrosis.

Question 5

An increase in _____ is associated with pruritus.

Accepted Answer

A)  substance P 
B)  norepinephrine 
C)  dopamine 
D)  acetylcholine 
A)  substance P 
B)  norepinephrine 
C)  dopamine 
D)  acetylcholine

Question 6

A 40-year-old is diagnosed with skin cancer.It is explained that the most important risk factor for skin cancer is:

Accepted Answer

A)  amount of direct sun exposure at a young age. 
B)  amount of sun exposure over age 50. 
C)  lifetime amount of sun exposure. 
D)  living in equatorial regions where the sun is most intense. 
A)  amount of direct sun exposure at a young age. 
B)  amount of sun exposure over age 50. 
C)  lifetime amount of sun exposure. 
D)  living in equatorial regions where the sun is most intense.

Question 7

For a patient with candidiasis, which factor will exacerbate the condition?

Accepted Answer

A)  Poor hygiene 
B)  Older age 
C)  Systemic antibiotics 
D)  Anemia 
A)  Poor hygiene 
B)  Older age 
C)  Systemic antibiotics 
D)  Anemia

Question 8

A patient wants to know which malignant skin lesion is the most serious.The correct response is:

Accepted Answer

A)  basal cell carcinoma. 
B)  squamous cell carcinoma. 
C)  Kaposi sarcoma (KS). 
D)  malignant melanoma. 
A)  basal cell carcinoma. 
B)  squamous cell carcinoma. 
C)  Kaposi sarcoma (KS). 
D)  malignant melanoma.

Question 9

Pityriasis rosea is caused by a:

Accepted Answer

A)  parasite. 
B)  virus. 
C)  bacteria. 
D)  fungus. 
A)  parasite. 
B)  virus. 
C)  bacteria. 
D)  fungus.

Question 10

A 28-year-old male is admitted to the burn unit 2 hours after receiving second- and third-degree burns over 50% of his body surface in an industrial explosion.Abnormal vital signs include low blood pressure and tachycardia.Lab results show a high hematocrit due to:

Accepted Answer

A)  sickle cell syndrome. 
B)  fluid movement out of the vascular space. 
C)  renal failure. 
D)  increased vascular protein secondary to increased metabolism. 
A)  sickle cell syndrome. 
B)  fluid movement out of the vascular space. 
C)  renal failure. 
D)  increased vascular protein secondary to increased metabolism.

Question 11

To promote efficient wound healing, which dressing should be applied to a superficial ulcer?

Accepted Answer

A)  Thick and dry 
B)  Flat and moist 
C)  Bulky and dry 
D)  None 
A)  Thick and dry 
B)  Flat and moist 
C)  Bulky and dry 
D)  None

Question 12

When assessing a patient diagnosed with localized scleroderma, which changes in the skin will be observed?

Accepted Answer

A)  Cyanosis. 
B)  Hyperpigmented 
C)  Necrosis 
D)  Thickening. 
A)  Cyanosis. 
B)  Hyperpigmented 
C)  Necrosis 
D)  Thickening.

Question 13

Which cells are involved in initiating immune responses in the skin?

Accepted Answer

A)  Langerhans cells 
B)  Merkel cells 
C)  Keratinocytes 
D)  Melanocyte 
A)  Langerhans cells 
B)  Merkel cells 
C)  Keratinocytes 
D)  Melanocyte

Exam 41: Structure, Function, and Disorders of the Integument

Which of the following burns is most painful?

A 25-year-old paralyzed male develops a dermal pressure ulcer.When assessing the patient's skin, which finding is the first indication of this ulcer?

A client is burned through all the dermis with only a few epidermal appendages intact.This burn is classified as:

A 27-year-old male lung transplant patient developed Kaposi sarcoma (KS).The nurse knows that the cause of this patient's KS is most likely related to the fact that the patient:

An increase in _____ is associated with pruritus.

A 40-year-old is diagnosed with skin cancer.It is explained that the most important risk factor for skin cancer is:

For a patient with candidiasis, which factor will exacerbate the condition?

A patient wants to know which malignant skin lesion is the most serious.The correct response is:

Pityriasis rosea is caused by a:

A 28-year-old male is admitted to the burn unit 2 hours after receiving second- and third-degree burns over 50% of his body surface in an industrial explosion.Abnormal vital signs include low blood pressure and tachycardia.Lab results show a high hematocrit due to:

To promote efficient wound healing, which dressing should be applied to a superficial ulcer?

When assessing a patient diagnosed with localized scleroderma, which changes in the skin will be observed?

Which cells are involved in initiating immune responses in the skin?

Cellular Biology

Genes and Genetic Diseases

Epigenetics and Disease

Altered Cellular and Tissue Biology

Fluids and Electrolytes, Acids and Bases

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Infection and Defects in Mechanisms of Defense

Stress and Disease

Biology, Clinical Manifestations, and Treatment of Cancer

Cancer Epidemiology

Cancer in Children

Structure and Function of the Neurologic System

Pain, Temperature, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction

Alterations of Neurologic Function in Children

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Structure and Function of the Hematologic System

Alterations of Hematologic Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Alterations of the Integument in Children

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