NSG 3250 Practice II - Integumentary

A teacher notifies the school nurse that many of the students in her third-grade class have been scratching their heads and complaining of intense itching of the scalp. The nurse notices some tiny white material at the base of a student's hair shaft. What condition does this assessment reflect? 1. Tinea capitis 2. Pediculosis capitis 3. Dandruff 4. Scabies

In providing a community education program on skin cancer, the nurse would discuss which type of skin cancer that is most difficult to treat? 1. Dysplastic nevi 2. Malignant melanoma 3. Basal cell epithelioma 4. Squamous cell epithelioma

The nurse understands that which of the following physical characteristics would place a client at risk for development of malignant melanoma? 1. Light to pale skin, blond hair, blue eyes 2. Olive complexion, oily skin, dark eyes 3. Dark skin with freckles, dry flaky skin, hazel eyes 4. Coarse skin, ruddy complexion, brown eyes

In performing a skin assessment, what finding would cause the nurse the most concern? 1. A 5-mm, symmetric, uniformly brown mole on the thigh that has not changed in appearance in 5 years 2. Multiple small (1- to 3-mm), flat moles across the upper back that are dark brown and round with smooth edges 3. A 3-cm waxy papule, with a "stuck-on" appearance; noted on the face, just above the upper lip 4. A new 2-mm mole that is brown with a red, irregular border and is occasionally pruritic

An infant has pruritus caused by atopic dermatitis. What measure would be appropriate for the nurse to teach the mother to help relieve the intense itching? 1. Dress the child in cotton shorts and short-sleeved shirts. 2. Bathe the child twice a day and use an antibacterial soap. 3. Give a bedtime bath followed by an emollient lotion. 4. Give salt baths three times a day.

What interventions would be appropriate for the nurse to recommend to the adolescent with severe acne? 1. Scrub skin vigorously twice daily with a polyester sponge pad. 2. Eat a diet high in carbohydrates and fats. 3. Apply topical benzoyl peroxide twice daily after cleansing. 4. Expose the skin to at least an hour of sunlight daily.

When completing an assessment on a client with psoriasis, the nurse expects to find what type of skin appearance? 1. Silvery scaling and plaques on the elbows with a red base when scraped 2. Inflammatory lesions or pustules, primarily on the face 3. Reddened lesions in the antecubital and popliteal space with pruritus 4. Pustule-like lesions with honey-colored crusts that are surrounded by erythema

While assessing a client's skin, the nurse notes a reddened area on the left hip with a shallow, small abrasion and scant serous fluid. What stage would the nurse classify this pressure ulcer? 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

A client has a pressure ulcer that appears infected; the subcutaneous tissue is necrotic, along with exposed tendon and muscle. The ulcer also has foul-smelling, purulent drainage present. The nurse would identify this pressure ulcer's classification as: 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

A child has been diagnosed with pediculosis. The parent asks how the child contracted the condition. What would be the appropriate response by the nurse? 1. "It is passed among children because of poor hygiene." 2. "There is an increase in the spread during the summer months." 3. "It spreads easily because children share their hats and combs." 4. "It is difficult to spread unless the immune system is depressed."

Which skin problem would require the addition of contact precautions to the practice of standard precautions? 1. Atopic dermatitis 2. Psoriasis 3. Fungal infections 4. Impetigo

A client has been diagnosed with herpes zoster. What information should be included in the teaching plan? 1. All symptoms will disappear in 3 days. 2. Oral antiviral medication can reduce the duration and intensity of symptoms. 3. This is the initial symptom of chickenpox and he is contagious. 4. The eruptions will recur at regular intervals.

A client is diagnosed with a malignant melanoma. The nurse understands this type of cancer has what characteristics? 1. It is one of the most invasive and difficult types of cancer to treat. 2. It is a type of skin cancer that is easily resected with minimal metastasis. 3. It occurs frequently on skin that has been exposed to extensive sunburn. 4. It is frequently found on the face in the area around the hairline.