ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 60 : Assessment of Integumentary Function Questions
Question 1 of 5
A new patient presents at the clinic and the nurse performs a comprehensive health assessment. The nurse notes that the patients fingernail surfaces are pitted. The nurse should suspect the presence of what health problem?
Correct Answer: C
Rationale: Pitted nails are a hallmark of psoriasis. Eczema, SLE, and COPD do not typically cause nail pitting.
Question 2 of 5
A patients health assessment has resulted in a diagnosis of alopecia areata. What nursing diagnosis should the nurse most likely associate with this health problem?
Correct Answer: D
Rationale: Alopecia areata, causing patchy hair loss, often leads to disturbed body image due to its cosmetic impact. It does not cause pain or impair skin/tissue integrity.
Question 3 of 5
A patient is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the patient develops fine blisters, papules, and severe itching. The nurse knows that this is indicative of what strength reaction?
Correct Answer: B
Rationale: Fine blisters, papules, and severe itching indicate a moderately positive patch test reaction. Weak positive shows redness and itching, while strong positive includes blisters and ulceration.
Question 4 of 5
A dermatologist has asked the nurse to assist with examination of a patients skin using a Woods light. This test will allow the physician to assess for which of the following?
Correct Answer: B
Rationale: Woods light helps identify pigmentation patterns, distinguishing epidermal from dermal lesions. It does not detect keloids, vascular lesions, or parasites.
Question 5 of 5
A patient presents at the dermatology clinic with suspected herpes simplex. The nurse knows to prepare what diagnostic test for this condition?
Correct Answer: C
Rationale: The Tzanck smear examines cells from blistering conditions like herpes simplex. Biopsies diagnose malignancies, patch tests identify allergens, and Woods light assesses pigmentation.