Question 1

Information essential for the nurse to gather when interviewing a young woman who is taking the drug isotretinoin (Accutane)for acne is:

Accepted Answer

A)  Usual weight 
B)  Family history of breast cancer 
C)  Current method of birth control 
D)  Drugs previously used

Question 2

Conditions that can be improved with negative pressure therapy include:

Accepted Answer

A)  Pressure ulcers 
B)  Skin grafts 
C)  Burns 
D)  Dehisced surgical wounds 
E)  Eczema

Question 3

A family member of an older patient with severe dermatitis says,"I was always so careful to bathe him every day.I guess I just wasn't careful enough." The nurse's best response would be:

Accepted Answer

A)  "Dermatitis is not caused by poor hygiene." 
B)  "Don't worry; we will bathe him thoroughly while he is here." 
C)  "You will have a chance to do better when he is back at home." 
D)  "You shouldn't feel like the skin condition is your fault."

Question 4

A nurse screening patients that the plastic surgeon is considering for phototherapy would exclude a:

Accepted Answer

A)  34-year-old woman with lupus erythematosus 
B)  5-year-old child with pneumonia 
C)  60-year-old man with a pacemaker 
D)  23-year-old woman who is 3 months' pregnant

Question 5

When caring for an obese patient who has been bedridden for a long time and who has a nursing diagnosis of "Risk for infection,related to obesity," the nurse should assess for the moist red lesions of Candida albicans,especially on the:

Accepted Answer

A)  Scalp, behind the ears 
B)  Abdominal skin folds 
C)  Shaft of the penis 
D)  Sacrum and bony prominences

Question 6

The nurse collecting tissue for a Tzanck smear will: (Select the appropriate interventions and place the steps in sequence.)

Accepted Answer

A)  Open the lesion with a hypodermic needle. 
B)  Place the specimen in a culture tube, and take to the laboratory. 
C)  Saturate the sterile swab with exudates. 
D)  Wash the lesion. 
E)  Place a pressure dressing on the lesion.

Question 7

A confused patient who has been restrained because of combativeness and hyperactivity might,because of the restraints,display:

Accepted Answer

A)  Lentigines 
B)  Senile purpura 
C)  Senile angiomas 
D)  Seborrheic keratoses

Question 8

In taking the functional assessment of a patient with a skin disorder,the nurse will inquire about:

Accepted Answer

A)  A sore that is slow to heal 
B)  Unusual hair growth 
C)  Previous skin disorders 
D)  Exposure to chemicals or irritants

Question 9

When assessing the capillary refill,the nurse may document as normal a refill time of __________ seconds.

Accepted Answer

A)  3 
B)  6 
C)  8 
D)  10

Exam 50: Skin Disorders

Information essential for the nurse to gather when interviewing a young woman who is taking the drug isotretinoin (Accutane) for acne is: