Question 1

Which may indicate a malignant melanoma in a nevus on a patient's arm?

Accepted Answer

A)  Even coloring of the mole 
B)  Decrease in size of the mole 
C)  Irregular border of the mole 
D)  Symmetry of the mole 
A)  Even coloring of the mole 
B)  Decrease in size of the mole 
C)  Irregular border of the mole 
D)  Symmetry of the mole C

Question 2

A patient has been admitted to the hospital with burns to the upper chest.The nurse notes singed nasal hairs.The nurse needs to assess this patient frequently for which condition?

Accepted Answer

A)  Decreased activity 
B)  Bradycardia 
C)  Respiratory complications 
D)  Hypertension 
A)  Decreased activity 
B)  Bradycardia 
C)  Respiratory complications 
D)  Hypertension C

Question 3

The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed as a:

Accepted Answer

A)  stage 1. 
B)  stage 2. 
C)  stage 3. 
D)  stage 4. 
A)  stage 1. 
B)  stage 2. 
C)  stage 3. 
D)  stage 4. B

Question 4

Which of the following are major functions of the skin? (Select all that apply. )

Accepted Answer

A)  Excretion of wastes 
B)  Protection 
C)  Vitamin C synthesis 
D)  Temperature regulation 
E)  Prevention of dehydration 
A)  Excretion of wastes 
B)  Protection 
C)  Vitamin C synthesis 
D)  Temperature regulation 
E)  Prevention of dehydration

Question 5

What would the nurse stress to the 17-year-old girl who has been prescribed Accutane for her acne?

Accepted Answer

A)  Avoid alcoholic beverages. 
B)  Drink at least 1000 mL of fluid daily. 
C)  Use dependable birth control to avoid pregnancy. 
D)  Avoid exposure to the sun. 
A)  Avoid alcoholic beverages. 
B)  Drink at least 1000 mL of fluid daily. 
C)  Use dependable birth control to avoid pregnancy. 
D)  Avoid exposure to the sun.

Question 6

Most of the deaths from burn trauma in the emergent phase that require a referral to a burn center result from:

Accepted Answer

A)  infection. 
B)  arrhythmias with cardiac arrest. 
C)  hypovolemic shock and renal failure. 
D)  adrenal failure. 
A)  infection. 
B)  arrhythmias with cardiac arrest. 
C)  hypovolemic shock and renal failure. 
D)  adrenal failure.

Question 7

Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the treatment of cellulitis?

Accepted Answer

A)  "My skin is cleared up.I don't think I need the medication anymore." 
B)  "Cellulitis can come back at any time." 
C)  "If I had washed that scratch with soap and water,I probably would not have gotten cellulitis." 
D)  "Cellulitis is contagious." 
A)  "My skin is cleared up.I don't think I need the medication anymore." 
B)  "Cellulitis can come back at any time." 
C)  "If I had washed that scratch with soap and water,I probably would not have gotten cellulitis." 
D)  "Cellulitis is contagious."

Question 8

A patient has herpes zoster (shingles)and is being treated with acyclovir (Zovirax).What should the nurse do when administering this drug?

Accepted Answer

A)  Apply lightly,being careful not to completely cover the lesion. 
B)  After application,wrap in warm wet dressings. 
C)  Use gloves. 
D)  Rub medication into lesions. 
A)  Apply lightly,being careful not to completely cover the lesion. 
B)  After application,wrap in warm wet dressings. 
C)  Use gloves. 
D)  Rub medication into lesions.

Question 9

The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide.What does the S in this guide indicate?

Accepted Answer

A)  Severity of the symptoms 
B)  Site of the lesions 
C)  Symptomatology of the lesions 
D)  Surface area of the lesions 
A)  Severity of the symptoms 
B)  Site of the lesions 
C)  Symptomatology of the lesions 
D)  Surface area of the lesions

Question 10

What is the initial intervention for relief of the pruritus of dermatitis venenata?

Accepted Answer

A)  Apply baking soda to lesions. 
B)  Wash area with copious amounts of water. 
C)  Apply cool compresses continuously. 
D)  Expose area to air. 
A)  Apply baking soda to lesions. 
B)  Wash area with copious amounts of water. 
C)  Apply cool compresses continuously. 
D)  Expose area to air.

Question 11

The nurse takes into consideration that carbon monoxide intoxication secondary to smoke inhalation is often fatal because carbon monoxide:

Accepted Answer

A)  binds with hemoglobin in place of oxygen. 
B)  interferes with oxygen intake. 
C)  is a respiratory depressant. 
D)  is a toxic agent. 
A)  binds with hemoglobin in place of oxygen. 
B)  interferes with oxygen intake. 
C)  is a respiratory depressant. 
D)  is a toxic agent.

Question 12

A patient,age 27,sustained thermal burns to 18% of her body surface area.After the first 72 hours,the nurse will have to observe for the most common cause of burn-related deaths,which is:

Accepted Answer

A)  shock. 
B)  respiratory arrest. 
C)  hemorrhage. 
D)  infection. 
A)  shock. 
B)  respiratory arrest. 
C)  hemorrhage. 
D)  infection.

Question 13

The nurse débriding a burn wound explains that the purpose of débridement is to:

Accepted Answer

A)  increase the effectiveness of the skin graft. 
B)  prevent infection and promote healing. 
C)  promote suppuration of the wound. 
D)  promote movement in the affected area. 
A)  increase the effectiveness of the skin graft. 
B)  prevent infection and promote healing. 
C)  promote suppuration of the wound. 
D)  promote movement in the affected area.

Question 14

The nurse is caring for a 26-year-old male patient who was burned 72 hours ago.He has partial-thickness burns to 24% of his body surface area.He begins to excrete large amounts of urine.What should the nurse do?

Accepted Answer

A)  Increase the IV rate and monitor for burn shock. 
B)  Monitor for signs of seizure activity. 
C)  Assess for signs of fluid overload. 
D)  Raise the foot of the bed and apply blankets. 
A)  Increase the IV rate and monitor for burn shock. 
B)  Monitor for signs of seizure activity. 
C)  Assess for signs of fluid overload. 
D)  Raise the foot of the bed and apply blankets.

Question 15

What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?

Accepted Answer

A)  Use Burow's solution to help promote healing. 
B)  Rub the skin briskly to decrease pruritus. 
C)  Limit bathing to three times a week. 
D)  Ensure that bath area is at least 85 degrees and dehumidified. 
A)  Use Burow's solution to help promote healing. 
B)  Rub the skin briskly to decrease pruritus. 
C)  Limit bathing to three times a week. 
D)  Ensure that bath area is at least 85 degrees and dehumidified.

Question 16

The school nurse recognizes the signs of scabies when a child presents with:

Accepted Answer

A)  small fluid-filled blisters that sting when scratched. 
B)  dry scaly patches in body creases that itch. 
C)  wavy threadlike lines on the body and pruritus. 
D)  cluster of papular lesions with pruritus. 
A)  small fluid-filled blisters that sting when scratched. 
B)  dry scaly patches in body creases that itch. 
C)  wavy threadlike lines on the body and pruritus. 
D)  cluster of papular lesions with pruritus.

Question 17

When providing the open method of treatment for a patient who is 52 years old with burns to the lower extremities,what would a nurse include in the nursing plan?

Accepted Answer

A)  Change the dressing using good medical asepsis. 
B)  Provide an analgesic immediately after the dressing change. 
C)  Perform circulation checks every 2 to 4 hours. 
D)  Keep the room temperature at 85°F (29.4°
C) to prevent chilling. 
A)  Change the dressing using good medical asepsis. 
B)  Provide an analgesic immediately after the dressing change. 
C)  Perform circulation checks every 2 to 4 hours. 
D)  Keep the room temperature at 85°F (29.4°
C) to prevent chilling.

Question 18

A nurse can assess cyanosis in a dark-skinned patient by noting the color of the:

Accepted Answer

A)  conjunctiva. 
B)  sclera. 
C)  lips and mucous membranes. 
D)  soles of the feet. 
A)  conjunctiva. 
B)  sclera. 
C)  lips and mucous membranes. 
D)  soles of the feet.

Question 19

The nurse making the initial assessment of a burned patient in the emergency room observes that the entire right arm (anterior and posterior),right anterior leg,chest,and abdomen are covered with reddened skin and blisters.Using the Rule of Nines,the nurse estimates the percentage of burn to be______%.

Accepted Answer

The answer of The nurse making the initial assessment of...

Question 20

Which patient instruction should the nurse include in the teaching plan relative to the management of systemic lupus erythematosus?

Accepted Answer

A)  Maintain a balance between rest and activity. 
B)  Increase activity to promote mobility. 
C)  Increase exposure to the sun to increase vitamin D absorption. 
D)  Increase sodium consumption. 
A)  Maintain a balance between rest and activity. 
B)  Increase activity to promote mobility. 
C)  Increase exposure to the sun to increase vitamin D absorption. 
D)  Increase sodium consumption.

Exam 43: Care of the Patient With an Integumentary Disorder

Which may indicate a malignant melanoma in a nevus on a patient's arm?

A patient has been admitted to the hospital with burns to the upper chest.The nurse notes singed nasal hairs.The nurse needs to assess this patient frequently for which condition?

The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed as a:

Which of the following are major functions of the skin? (Select all that apply. )

What would the nurse stress to the 17-year-old girl who has been prescribed Accutane for her acne?

Most of the deaths from burn trauma in the emergent phase that require a referral to a burn center result from:

Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the treatment of cellulitis?

A patient has herpes zoster (shingles)and is being treated with acyclovir (Zovirax).What should the nurse do when administering this drug?

The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide.What does the S in this guide indicate?

What is the initial intervention for relief of the pruritus of dermatitis venenata?

The nurse takes into consideration that carbon monoxide intoxication secondary to smoke inhalation is often fatal because carbon monoxide:

A patient,age 27,sustained thermal burns to 18% of her body surface area.After the first 72 hours,the nurse will have to observe for the most common cause of burn-related deaths,which is:

The nurse débriding a burn wound explains that the purpose of débridement is to:

The nurse is caring for a 26-year-old male patient who was burned 72 hours ago.He has partial-thickness burns to 24% of his body surface area.He begins to excrete large amounts of urine.What should the nurse do?

What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?

The school nurse recognizes the signs of scabies when a child presents with:

When providing the open method of treatment for a patient who is 52 years old with burns to the lower extremities,what would a nurse include in the nursing plan?

A nurse can assess cyanosis in a dark-skinned patient by noting the color of the:

Which patient instruction should the nurse include in the teaching plan relative to the management of systemic lupus erythematosus?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

Filters