Exam 2: Assessing the Integumentary System

Which normal skin variation might be noted when assessing an older adult patient's skin?

Which is a palpable, serous fluid-filled primary skin lesion that is less than 1 cm in size?

The nurse is assessing a school-age patient with a skin disorder. Which disorder is most likely to occur during childhood?

The nurse is assessing a patient who presents with a pressure ulcer. There is full-thickness loss involving subcutaneous tissue. When documenting this finding, which stage will the nurse use?

Which secondary skin lesion is a linear break in the skin with well-defined borders that may extend into the dermis?

The nurse is providing care to a patient who is prescribed valproic acid for the treatment of a seizure disorder. Which will the nurse assess for during the skin examination?

The nurse is assessing a patient's skin and notes jaundice, a yellow discoloration of skin. Which conclusion by the nurse is most appropriate based on this assessment finding?

Which term is used to describe scar tissue caused by excessive collagen formation?

Which term will the nurse use when documenting bluish spider veins found during a skin assessment?

Which primary skin lesion presents as a temporary elevation of the skin?

The nurse is providing care to a newborn. Which is a normal assessment finding that often occurs within the first 2 to 3 days of life for this patient?

Which is a primary function of the integumentary system?

The nurse notes a pus-filled primary skin lesion. Which term will the nurse use when documenting this finding?

The nurse notes that a pregnant patient is experiencing chloasma on the face. For which reason does the change occur during pregnancy?

The nurse is assessing a patient who presents with a bruised ankle caused by an injury. When documenting this finding, which term is most appropriate for the nurse to use?

A bull's-eye rash may be indicative of which problem?

Which is a primary skin lesion that is considered a raised macule?

The nurse is providing care to a patient who presents with a fever. Which is the most appropriate action by the nurse during the assessment process?

The nurse is assessing the skin color for a dark-skinned patient. Which location is most appropriate for the nurse to use for this assessment?

When inspecting the nails for clubbing, which is the normal angle of attachment?