Integumentary review questions

. The nurse is assigned to care for a client with herpes zoster (shingles). Which of the following characteristics would the nurse expect to note when assessing the lesion of this infection?
a. Clustered skin vesicles
b. A generalized body rash
c. Small blue-white spots with a red base
d. A fiery red, edematous rash on the cheeks
ANSWER: A

2. A large, purplish bruises that resolve very slowly and result from a minor trauma is?
a. Lentigines
b. Purpura
c. Angiomas
d. Acrochordons
ANSWER: B

3. The nurse is reviewing the health care record of the clients scheduled to be seen at the health care clinic. The nurse determines that which of the following individuals is at the greatest risk for development of an integumentary disorder?
a. An Adolescent
b. An older female
c. A physical education teacher
d. An outdoor construction worker
ANSWER: D

4. The nurse prepares to assist the physician to examine the client’s skin with a Wood’s light. The nurse includes which of the following in the plan for this procedure?
a. Prepare a local anesthetic
b. Obtain an informed consent
c. Darken the room for the examination
d. Shave the skin and scrub with povidone-iodine solution
ANSWER: D

5. Which of the following is not the signs and symptoms of angioedema?
a. Extreme swelling of the lips
b. Swelling around the eyes
c. Dyspnea
d. Swelling of the joints
ANSWER: D

6. What infection is treated by keratolytic agents, such as salicylic acid and lactic acid that are applied in the form of a solution or tape?
a. Impetigo
b. Psoriasis
c. Wart
d. Vitiligo
ANSWER: C

7. Folliculitis may lead to production of
a. Carbuncle
b. Furuncle
c. Wart
d. Keloid
ANSWER: B

8. Which of the following is not a burn medication?
a. Bacitricin
b. Silver sulfadiazine
c. Nystatin
d. Silvadene
ANSWER: C

9. The part of the skin that contains the structures of hair, glands, blood vessels and nerves is the:
a. Dermis
b. Epidermis
c. Stratum basale
d. Stratum corneum
ANSWER: A

10. It is a painless, benign overgrowth that develops at the site of a scar or trauma
a. Mole
b. Keloid
c. Wart
d. Angioma
ANSWER: B

11. How many calories daily needed for burned patient
ANSWER: 6,000 calories daily

12. Squamous Cell Carcinoma – false

13. Topical ointments and salves are for burned patient – false

14. Edematous, raised pink areas, called wheals – urticaria

15. The nurse is applying a topical corticosteroid to a client with eczema. The nurse would be concerned about the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas?
a. Back
b. Axilla
c. Soles of feet
d. Palms of the hands
ANSWER: B

16. Body area that has a large concentration of sebaceous glands – Eyebrows

17. Mycostatin – Antifungal

18. Lindane (kwell) - Antiparasitic

19. Teaching for impetigo – Separate on washing clothes, towels and linens

20. Therapeutic measures for pruritus – apply lotion of dry skin

21. The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication associated with the skin of the client?
a. Crusting
b. Wrinkling
c. Deepening of the expressions
d. Thinning and loss of elasticity
ANSWER: A - CRUSTING

22. The removal of loose skin, crust or denuded tissue – Debridement

23. The American Cancer Society has developed a helpful ABCD rule for evaluating mole. A stands for – Asymmetry

24. The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied:
a. Immediately before swimming
b. 15 minutes before exposure to the sun
c. Immediately before exposure to the sun
d. 30 to 60 minutes before exposure to the sun
ANSWER: D