Question 1

A client shows the nurse a "ringworm" on the left forearm.What over-the-counter topical antifungal drug could the nurse recommend to the client to treat this lesion?

Accepted Answer

A) acyclovir 
B) lindane (Kwell) 
C) miconazole nitrate (Micatin) 
D) nitric acid 
A) acyclovir 
B) lindane (Kwell) 
C) miconazole nitrate (Micatin) 
D) nitric acid

Question 2

A nurse notes that a client's skin is loose,thin,and wrinkled.Which of these skin parameters has the nurse assessed?

Accepted Answer

A) integrity 
B) moisture 
C) texture 
D) turgor 
A) integrity 
B) moisture 
C) texture 
D) turgor

Question 3

Which of these statements about exfoliative dermatitis is TRUE?

Accepted Answer

A) Overwhelming systemic infections or massive loss of body fluids and electrolytes can cause death. 
B) Severe pruritus can be controlled with oral antihistamines. 
C) Skin inflammation will gradually heal. 
D) Systemic symptoms include weight loss. 
A) Overwhelming systemic infections or massive loss of body fluids and electrolytes can cause death. 
B) Severe pruritus can be controlled with oral antihistamines. 
C) Skin inflammation will gradually heal. 
D) Systemic symptoms include weight loss.

Question 4

Contact dermatitis can be caused by which of the following substances?

Accepted Answer

A) oral penicillin 
B) topical antibiotics 
C) aluminum 
D) cosmetics 
A) oral penicillin 
B) topical antibiotics 
C) aluminum 
D) cosmetics

Question 5

A wound that involves minimal tissue loss with well-approximated edges will heal by which of these methods?

Accepted Answer

A) primary intention 
B) secondary intention 
C) tertiary intention 
D) quartile intention 
A) primary intention 
B) secondary intention 
C) tertiary intention 
D) quartile intention

Question 6

Surgical removal is recommended for which type of benign skin tumor if it causes pressure on surrounding nerves or interferes with normal body function?

Accepted Answer

A) angioma 
B) keloid 
C) lipoma 
D) nevi 
A) angioma 
B) keloid 
C) lipoma 
D) nevi

Question 7

Which of these dietary modifications is indicated for a client recuperating from a moderate to severe burn?

Accepted Answer

A) protein and caloric intake increased by twice the regular requirements 
B) carbohydrates increased by one-half the normal requirements 
C) fat increased by two to four times the regular requirements 
D) supplemental fiber 
A) protein and caloric intake increased by twice the regular requirements 
B) carbohydrates increased by one-half the normal requirements 
C) fat increased by two to four times the regular requirements 
D) supplemental fiber

Question 8

Which of the following is a major symptom of contact dermatitis?

Accepted Answer

A) scaling 
B) blanching of skin 
C) loss of skin surface 
D) pruritus 
A) scaling 
B) blanching of skin 
C) loss of skin surface 
D) pruritus

Question 9

Which of these factors is the MOST common cause of altered wound healing?

Accepted Answer

A) advanced age 
B) smoking 
C) hemorrhage 
D) infection 
A) advanced age 
B) smoking 
C) hemorrhage 
D) infection

Question 10

A client who has AIDS develops cutaneous T-cell lymphoma,which is characterized by:

Accepted Answer

A) ready susceptibility to treatment and cure 
B) initial appearance of moles that are irregular in shape 
C) superficial infection of the dermis and epidermis 
D) metastasis to vital organ systems,even if treatment improves the skin's condition 
A) ready susceptibility to treatment and cure 
B) initial appearance of moles that are irregular in shape 
C) superficial infection of the dermis and epidermis 
D) metastasis to vital organ systems,even if treatment improves the skin's condition

Question 11

A client who has diabetes and is overweight develops a carbuncle at the nape of the neck,which is incised and drained.The client asks the nurse what caused the carbuncle to grow.Which of these responses is the MOST appropriate response?

Accepted Answer

A) "Your diabetes probably increased your susceptibility to infection." 
B) "It's the result of poor hygiene." 
C) "The staphylococcus organism is present on the skin,and a hair follicle probably became infected." 
D) "Your obesity and constant perspiration may have caused it." 
A) "Your diabetes probably increased your susceptibility to infection." 
B) "It's the result of poor hygiene." 
C) "The staphylococcus organism is present on the skin,and a hair follicle probably became infected." 
D) "Your obesity and constant perspiration may have caused it."

Question 12

A client is admitted with severe burns over the anterior of both legs and the lower abdomen and genitals.The nurse should anticipate preparing for which of these procedures?

Accepted Answer

A) administration of 100% humidified oxygen 
B) endotracheal tube insertion 
C) insertion of a chest tube 
D) insertion of two large-caliber venous catheters 
A) administration of 100% humidified oxygen 
B) endotracheal tube insertion 
C) insertion of a chest tube 
D) insertion of two large-caliber venous catheters

Question 13

Which of these nursing diagnoses would be appropriate for the client who has psoriasis?

Accepted Answer

A) Chronic pain 
B) Risk for infection 
C) Risk for self-mutilation 
D) Fluid and electrolyte imbalance 
A) Chronic pain 
B) Risk for infection 
C) Risk for self-mutilation 
D) Fluid and electrolyte imbalance

Question 14

A client is admitted to the burn unit after sustaining both partial-thickness and full-thickness burns over 55% of the body.The client tells the nurse the burn must not be too severe because there is not much pain.The nurse recognizes this comment reflects which of these factors?

Accepted Answer

A) The client is in a state of denial. 
B) The client is in physical shock. 
C) The analgesics administered to the client in the emergency department are effective. 
D) The majority of the client's injuries are third-degree burns. 
A) The client is in a state of denial. 
B) The client is in physical shock. 
C) The analgesics administered to the client in the emergency department are effective. 
D) The majority of the client's injuries are third-degree burns.

Question 15

Management of a client with a stage III ulceration would include which of the following? (Select all that apply. )

Accepted Answer

A) frequently assessing lung sounds 
B) frequently changing position 
C) air-filled mattress 
D) debridement of the wound bed 
E) encouraging intake of foods high in vitamin C and protein 
A) frequently assessing lung sounds 
B) frequently changing position 
C) air-filled mattress 
D) debridement of the wound bed 
E) encouraging intake of foods high in vitamin C and protein

Question 16

Which of the following nursing observations of the client who is severely burn injured would indicate a less-than-desirable client status and should be immediately reported to the doctor?

Accepted Answer

A) a change in the client's level of consciousness from confused to alert 
B) hourly urine output below 30 mL 
C) pulse oximetry reading that remains above 90% 
D) productive cough 
A) a change in the client's level of consciousness from confused to alert 
B) hourly urine output below 30 mL 
C) pulse oximetry reading that remains above 90% 
D) productive cough

Question 17

Which phase of wound healing lasts the longest period of time?

Accepted Answer

A) initial 
B) defensive 
C) reconstructive 
D) maturation 
A) initial 
B) defensive 
C) reconstructive 
D) maturation

Exam 46: Integumentary System

A client shows the nurse a "ringworm" on the left forearm.What over-the-counter topical antifungal drug could the nurse recommend to the client to treat this lesion?

A nurse notes that a client's skin is loose,thin,and wrinkled.Which of these skin parameters has the nurse assessed?

Which of these statements about exfoliative dermatitis is TRUE?

Contact dermatitis can be caused by which of the following substances?

A wound that involves minimal tissue loss with well-approximated edges will heal by which of these methods?

Surgical removal is recommended for which type of benign skin tumor if it causes pressure on surrounding nerves or interferes with normal body function?

Which of these dietary modifications is indicated for a client recuperating from a moderate to severe burn?

Which of the following is a major symptom of contact dermatitis?

Which of these factors is the MOST common cause of altered wound healing?

A client who has AIDS develops cutaneous T-cell lymphoma,which is characterized by:

A client who has diabetes and is overweight develops a carbuncle at the nape of the neck,which is incised and drained.The client asks the nurse what caused the carbuncle to grow.Which of these responses is the MOST appropriate response?

A client is admitted with severe burns over the anterior of both legs and the lower abdomen and genitals.The nurse should anticipate preparing for which of these procedures?

Which of these nursing diagnoses would be appropriate for the client who has psoriasis?

A client is admitted to the burn unit after sustaining both partial-thickness and full-thickness burns over 55% of the body.The client tells the nurse the burn must not be too severe because there is not much pain.The nurse recognizes this comment reflects which of these factors?

Management of a client with a stage III ulceration would include which of the following? (Select all that apply. )

Which of the following nursing observations of the client who is severely burn injured would indicate a less-than-desirable client status and should be immediately reported to the doctor?

Which phase of wound healing lasts the longest period of time?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

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Life Span Development

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Loss, Grief, and Death

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Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

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Fluid, Electrolyte, and Acid-Base Balance

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Infants With Special Needs: Birth to 12 Months

Common Problems: 1-18 Years

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