Question 1

A 35-year-old pregnant woman comes to the clinic for a monthly appointment.During the assessment,the nurse notices that she has a brown patch of hyperpigmentation on her face.The nurse continues the skin assessment aware that another finding may be:

Accepted Answer

A)  keratoses. 
B)  xerosis. 
C)  linea nigra. 
D)  acrochordons.

Question 2

The nurse is preparing for a certification course in skin care and needs to be familiar with the various lesions that may be identified on assessment of the skin.Which of the following definitions are correct? Select all that apply.

Accepted Answer

A)  Petechiae: Tiny punctate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple, or brown in color 
B)  Bulla: An elevated, circumscribed lesion filled with turbid fluid (pus) 
C)  Papule: A hypertrophic scar 
D)  Vesicle: Also known as a friction blister 
E)  Nodule: Solid, elevated, hard or soft, larger than 1 cm

Question 3

A patient has been admitted for severe psoriasis.The nurse can expect to see what finding in the patient's fingernails?

Accepted Answer

A)  Splinter hemorrhages 
B)  Paronychia 
C)  Pitting 
D)  Beau lines

Question 4

The nurse is discussing epidermal appendages with a newly graduated nurse.Which of these would be included in the discussion?

Accepted Answer

A)  Skin 
B)  Arms 
C)  Sweat glands 
D)  Parotid glands

Question 5

A 70-year-old woman who loves to garden has small,flat,brown macules over her arms and hands.She asks,"What causes these liver spots?" The nurse tells her,"They are:

Accepted Answer

A)  signs of decreased hematocrit related to anemia." 
B)  due to destruction of melanin in your skin from exposure to the sun." 
C)  clusters of melanocytes that appear after extensive sun exposure." 
D)  areas of hyperpigmentation related to decreased perfusion and vasoconstriction."

Question 6

A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.On assessment,the nurse might expect to see which assessment finding?

Accepted Answer

A)  Anasarca 
B)  Scleroderma 
C)  Pedal erythema 
D)  Clubbing of the nails

Question 7

A father brings in his 2-month-old infant to the clinic because the infant has had diarrhea for the last 24 hours.He says that his baby has not been able to keep any formula down and that the diarrhea has been at least every 2 hours.The nurse suspects dehydration.The nurse should test skin mobility and turgor in this infant over the:

Accepted Answer

A)  sternum. 
B)  forehead. 
C)  forearms. 
D)  abdomen.

Question 8

The nurse keeps in mind that a thorough skin assessment is very important because the skin holds information about a person's:

Accepted Answer

A)  support systems. 
B)  circulatory status. 
C)  socioeconomic status. 
D)  psychological wellness.

Question 9

Because hair for humans is no longer needed for protection from cold or trauma,it is called:

Accepted Answer

A)  vellus. 
B)  vagus. 
C)  vestigial. 
D)  vestibule.

Question 10

A 40-year-old woman reports a change in mole size,accompanied by color changes,itching,burning,and bleeding over the past month.She has a dark complexion and has no family history of skin cancer,but she has had many blistering sunburns in the past.The nurse would:

Accepted Answer

A)  tell the patient to watch the lesion and report back in 2 months. 
B)  refer the patient because of the suspicion of melanoma on the basis of her symptoms. 
C)  ask additional questions regarding environmental irritants that may have caused this condition. 
D)  suspect that this is a compound nevus, which is very common in young to middle-aged adults.

Question 11

The nurse just noted from a patient's medical record that the patient has a lesion that is confluent in nature.On examination,the nurse would expect to find:

Accepted Answer

A)  lesions that run together. 
B)  annular lesions that have grown together. 
C)  lesions arranged in a line along a nerve route. 
D)  lesions that are grouped or clustered together.

Question 12

The nurse is assessing for clubbing of the fingernails and would expect to find:

Accepted Answer

A)  a nail base that is firm and slightly tender. 
B)  curved nails with a convex profile and ridges across the nail. 
C)  a nail base that feels spongy with an angle of the nail base of 150 degrees. 
D)  an angle of the nail base of 180 degrees or greater with a nail base that feels spongy.

Exam 12: Skin, Hair, and Nails