Question 1

Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?

Accepted Answer

A) Administer patch testing to a patient with allergic dermatitis. 
B) Interview a new patient about chronic health problems and allergies. 
C) Apply a sterile dressing after the health care provider excises a mole. 
D) Explain potassium hydroxide testing to a patient with a skin infection. 
E) Teach a patient about site care after a punch biopsy of an upper arm lesion. 
A) Administer patch testing to a patient with allergic dermatitis. 
B) Interview a new patient about chronic health problems and allergies. 
C) Apply a sterile dressing after the health care provider excises a mole. 
D) Explain potassium hydroxide testing to a patient with a skin infection. 
E) Teach a patient about site care after a punch biopsy of an upper arm lesion. A,C

Question 2

Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?

Accepted Answer

A) Brown macules on extremities 
B) Reports a history of allergic rashes 
C) Skin wrinkled with tenting on both hands 
D) Longitudinal nail ridges and sparse scalp hair 
A) Brown macules on extremities 
B) Reports a history of allergic rashes 
C) Skin wrinkled with tenting on both hands 
D) Longitudinal nail ridges and sparse scalp hair B

Question 3

The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's appropriate action?

Accepted Answer

A) Discuss the use of drying agents to minimize infection risk. 
B) Instruct the patient about the use of mild soap to clean skinfolds. 
C) Teach the patient about treating fungal infections in the skinfolds. 
D) Ask the patient about a personal or family history of type 2 diabetes. 
A) Discuss the use of drying agents to minimize infection risk. 
B) Instruct the patient about the use of mild soap to clean skinfolds. 
C) Teach the patient about treating fungal infections in the skinfolds. 
D) Ask the patient about a personal or family history of type 2 diabetes. D

Question 4

When performing a skin assessment,the nurse notes angiomas on the chest of an older patient. Which action should the nurse take next?

Accepted Answer

A) Suggest an appointment with a dermatologist. 
B) Assess the patient for evidence of liver disease. 
C) Teach the patient about skin changes with aging. 
D) Discuss the use of sunscreen to prevent skin cancers. 
A) Suggest an appointment with a dermatologist. 
B) Assess the patient for evidence of liver disease. 
C) Teach the patient about skin changes with aging. 
D) Discuss the use of sunscreen to prevent skin cancers.

Question 5

The nurse assesses a circular,flat,reddened lesion about 5 cm in diameter on a middle-aged patient's ankle. How should the nurse determine if the lesion is related to intradermal bleeding?

Accepted Answer

A) Elevate the patient's leg. 
B) Press firmly on the lesion. 
C) Check the temperature of the skin around the lesion. 
D) Palpate the dorsalis pedis and posterior tibial pulses. 
A) Elevate the patient's leg. 
B) Press firmly on the lesion. 
C) Check the temperature of the skin around the lesion. 
D) Palpate the dorsalis pedis and posterior tibial pulses.

Question 6

A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?

Accepted Answer

A) Shave biopsy 
B) Punch biopsy 
C) Incisional biopsy 
D) Excisional biopsy 
A) Shave biopsy 
B) Punch biopsy 
C) Incisional biopsy 
D) Excisional biopsy

Question 7

The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?

Accepted Answer

A) Sterile gloves 
B) Patch test instruments 
C) Cotton-tipped applicators 
D) Syringe and intradermal needle 
A) Sterile gloves 
B) Patch test instruments 
C) Cotton-tipped applicators 
D) Syringe and intradermal needle

Question 8

When examining an older patient in the home,the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body. Which action should the nurse take first?

Accepted Answer

A) Ensure the patient wears shoes with nonslip soles. 
B) Discourage using throw rugs throughout the house. 
C) Talk with the patient alone and ask about the bruising. 
D) Notify the health care provider so that radiographs can be ordered. 
A) Ensure the patient wears shoes with nonslip soles. 
B) Discourage using throw rugs throughout the house. 
C) Talk with the patient alone and ask about the bruising. 
D) Notify the health care provider so that radiographs can be ordered.

Question 9

A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?

Accepted Answer

A) History of sun exposure by the patient 
B) Method of contraception used by the patient 
C) Length of time the patient has used fluorouracil 
D) Appearance of the treated areas on the patient's face 
A) History of sun exposure by the patient 
B) Method of contraception used by the patient 
C) Length of time the patient has used fluorouracil 
D) Appearance of the treated areas on the patient's face

Question 10

A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?

Accepted Answer

A) Hypertrophied scars on both ankles 
B) Thickening of the skin around the ankles 
C) Yellowish-brown skin around both ankles 
D) Complete absence of melanin in both ankles 
A) Hypertrophied scars on both ankles 
B) Thickening of the skin around the ankles 
C) Yellowish-brown skin around both ankles 
D) Complete absence of melanin in both ankles

Question 11

Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?

Accepted Answer

A) Dry, scaly patches on the face 
B) Numerous varicosities on both legs 
C) Petechiae on the chest and abdomen 
D) Small dilated blood vessels on the face 
A) Dry, scaly patches on the face 
B) Numerous varicosities on both legs 
C) Petechiae on the chest and abdomen 
D) Small dilated blood vessels on the face

Question 12

During assessment of the patient's skin,the nurse observes a similar pattern of discrete,small,raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?

Accepted Answer

A) Confluent 
B) Symmetric 
C) Zosteriform 
D) Generalized 
A) Confluent 
B) Symmetric 
C) Zosteriform 
D) Generalized

Question 13

The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations ?

Accepted Answer

A) Vitiligo 
B) Alopecia 
C) Intertrigo 
D) Erythema 
E) Actinic keratosis 
A) Vitiligo 
B) Alopecia 
C) Intertrigo 
D) Erythema 
E) Actinic keratosis

Question 14

A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse assess this patient for cyanosis?

Accepted Answer

A) Assess the skin color of the earlobes. 
B) Apply pressure to the palms of the hands. 
C) Check the lips and oral mucous membranes. 
D) Examine capillary refill time of the nail beds. 
A) Assess the skin color of the earlobes. 
B) Apply pressure to the palms of the hands. 
C) Check the lips and oral mucous membranes. 
D) Examine capillary refill time of the nail beds.

Exam 22: Assessment of Integumentary System

Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?

Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?

The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's appropriate action?

When performing a skin assessment,the nurse notes angiomas on the chest of an older patient. Which action should the nurse take next?

The nurse assesses a circular,flat,reddened lesion about 5 cm in diameter on a middle-aged patient's ankle. How should the nurse determine if the lesion is related to intradermal bleeding?

A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?

The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?

When examining an older patient in the home,the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body. Which action should the nurse take first?

A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?

A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?

Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?

During assessment of the patient's skin,the nurse observes a similar pattern of discrete,small,raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?

The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations ?

A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse assess this patient for cyanosis?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Use Disorders

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, electrolyte, and Acid-Base Imbalances

Preoperative Care

Intraoperative Care

Postoperative Care

Assessment of Visual and Auditory Systems

Visual and Auditory Problems

Integumentary Problems

Burns

Assessment of Respiratory System

Upper Respiratory Problems

Lower Respiratory Problems

Obstructive Pulmonary Diseases

Assessment of Hematologic System

Hematologic Problems

Assessment of Cardiovascular System

Hypertension

Coronary Artery Disease and Acute Coronary Syndrome

Heart Failure

Dysrhythmias

Inflammatory and Structural Heart Disorders

Vascular Disorders

Assessment of Gastrointestinal System

Nutritional Problems

Obesity

Upper Gastrointestinal Problems

Lower Gastrointestinal Problems

Liver, pancreas, and Biliary Tract Problems

Assessment of Urinary System

Renal and Urologic Problems

Acute Kidney Injury and Chronic Kidney Disease

Assessment of Endocrine System

Diabetes Mellitus

Endocrine Problems

Assessment of Reproductive System

Breast Disorders

Sexually Transmitted Infections

Female Reproductive and Genital Problems

Male Reproductive and Genital Problems

Assessment of Nervous System

Acute Intracranial Problems

Stroke

Chronic Neurologic Problems

Dementia and Delirium

Spinal Cord and Peripheral Nerve Problems

Assessment of Musculoskeletal System

Musculoskeletal Trauma and Orthopedic Surgery

Musculoskeletal Problems

Arthritis and Connective Tissue Diseases

Critical Care

Shock, sepsis, and Multiple Organ Dysfunction Syndrome