Burns, Nails, Hair
Individuals with albinism lack __________.
A) melanin
B) sebum
C) keratin
D) depigmentation
A) melanin
A child has been sent to the school nurse with pruritis and honey-colored crusts on the lower lip and chin. The nurse believes these lesions most likely are...
A) chickenpox
B) shingles
C) impetigo
D) eczema
C) impetigo
Which nursing intervention can help a patient maintain healthy skin?
A. Keep the patient well hydrated.
B. Avoid bathing the patient with mild soap
C. Remove adhesive tape quickly from the skin.
D. Recommend wearing tight-fitting clothes in hot weather.
A. keep the patient well hydrated
A patient asks you if they should take antibiotics to get rid of their shingles. You tell them...
A) "Yes, that should clear it right up"
B) "Yes, but you might need multiple rounds of antibiotics to clear the infection"
C) No, because shingles are a virus
C
The most severe type of skin cancer is ______________.
A) basal cell carcinoma
B) squamous cell carcinoma
C) melanoma
C) melanoma
The nurse reviews a patient's chart and notes a diagnosis of Paronychia. Based on this diagnosis, which should the nurse expect to note while charting?
A) red, shiny skin around the nail bed, purulent exudate present
B) white, taut skin in the popliteal area
C) white, silvery patches on the elbows
D) swelling of the skin near the parotid gland
E) yellowing or whitening of the nail plate
A
A nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus. What do you suspect her diagnosis is?
A) contact dermatitis
B) atopic eczema
C) psoriasis
D) tinea capitis
D. tinea capitis
Melanocytes give rise to the pigment Melanin. Melanin is the pigment that ___________.
A) strengthens
B) protects
C) produces sweat
D) secretes
B) protects
What should the nurse examine is assessing a patient for tinea corporis?
A) head
B) abdomen
C) soles of the feet
D) armpits
B) abdomen
A patient with Herpes Zoster is newly admitted. Based on your knowledge of the disease, which statement is correct?
A) If a person has not had chickenpox, they could contract herpes zoster
B) Herpes Zoster can only be diagnosed by skin stains
C) The virus lies dormant on a cranial or spinal nerve dermatome until activated
D) the rash only persists for days
C) The virus lies dormant on a cranial or spinal nerve dermatome until activated
A 27 year old female has sustained thermal burns to 18% of her body. After the first 72 hours, she will be on close observation because the most common complication of burns is...
A) Infection
B) Respiratory Arrest
C) Heart Failure
D) Shock
E) Hemorrhage
A. Infection
A nurse is assessing the skin of an adolescent with Acne Vulgaris. Which of the following primary lesions should the nurse expect to find? Select all that apply.
A) pustules
B) papules
C) nodules
D) cysts
E) macules
A, C, D
Which of the following is not a major function of the skin?
A) regulate body temperature
B) maintain fluid balance
C) protection
D) Vitamin C Synthesis
E) sense environmental changes
D) Vitamin C Synthesis
A patient developed severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and they cannot stop scratching. Which instruction would be the best to manage the pruritus?
A) use cool, wet dressings and baths to promote vasoconstriction
B) Trim the fingernails short to prevent skin damage from scratching
C) expose the areas to the sun to promote drying and healing of the lesions
D) wear cotton gloves and cover all affected areas with clothing to prevent irritation
A) use cool, wet dressings and baths to promote vasoconstriction
You are helping in an elementary school and the parents want to know what you are looking for when looking for parasitic skin infections. You would tell them... (Select all that apply)
A) scabies
B) carbuncles
C) pediculi
D) tinea
E) bed bugs
A, C, E
When planning care for a male patient with burns on the upper torso, which nursing diagnosis should take the highest priority?
A. Ineffective airway clearance related to edema of the respiratory passages
B. Impaired physical mobility related to the disease process
C. Disturbed sleep pattern related to facility environment
D. Risk for infection related to breaks in the skin
A. Ineffective airway clearance related to edema of the respiratory passages
A patient arrives to the emergency department who has experienced frostbite to his right hand. Which should the nurse expect to find when inspecting the patient's hand?
A) a pink, edematous hand
B) fiery red skin with edema in the nail beds
C) black fingertips surrounded by an erythematous rash
D) a white color of the skin, which is insensitive to touch
D) a white color of the skin, which is insensitive to touch
When assessing an older patient, the nurse knows that the effects of aging are noted in the skin as well as in all body tissues and organs. Which of the following is not an indicator of aging?
A) wrinkling
B) atrophy of the glands
C) loss of subcutaneous fat
D) increased sensations of pain, vibration, heat, cold, and touch
D) increased sensations of pain, vibration, heat, cold, and touch
Which of the following individuals is least likely to be at risk for developing psoriasis?
A. A woman experiencing menopause.
B. A 32 year-old-African American man.
C. A patient with a family history of the disorder
D. An individual who has experienced a significant amount of emotional distress.
B. A 32 African American man.
Which of the following is not a true statement regarding cellulitis?
A) The bacteria that can cause cellulitis can be spread by direct contact with an open area of an infected person
B) Cellulitis occurs when bacteria enters the body through a break in the skin
C) The primary treatment for cellulitis includes analgesics, dressing changes, and warm compresses
D) Complications from cellulitis can include sepsis
C) the primary treatment for cellulitis includes analgesics, dressing changes, and warm compresses
Which of the following is true about Alopecia Areata?
A) a genetically imposed response to androgens
B) results in total body hair loss
C) biopsy is needed to confirm diagnosis
D) an autoimmune B cell mediated chronic inflammatory disease of the hair follicle
E) causes progressive hair thinning leading to loss of hair over the central part of the scalp
C) biopsy is needed to confirm diagnosis
Shortly after the birth of a newborn, the mother notices a gray patch across the baby's buttocks. She is immediately concerned that the baby has been bruised during the birth and asks the nurse about this. The nurse recognizes patch as a birth mark and explains this to the mother. Which type of birth mark is this most likely to be?
A. Port Wine Stain
B. Mongolian Spot
C. Cafe Au-Lait Spots
D. Hemangioma
E. Seborrheic Keratosis
B. Mongolian Spot
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face and feet but it doesnt have an odor. The nurse knows that this condition could be related to:
a. Eccrine glands.
b. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum.
A. Eccrine Glands
What does each letter of the ABCDE mnemonic for skin cancer stand for?
A= asymmetry
B= irregular border
C= changes in color
D= diameter greater than 6 mm
E= evolution (change over time)
____________ is a self limiting tumor of squamous cell differentiation from hair follicles.
A) squamous cell carcinoma
B) seborrheic keratosis
C) keratocarcinoma
D) keratocanthoma
d) keratocanthoma