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 nurse in a dermatology clinic is reading the electronic health record of a new patient. The nurse notes that the patient has a history of a primary skin lesion. What is an example of a primary skin lesion?
Correct Answer: C
Rationale: A pustule is a primary skin lesion, arising from previously normal skin. Crusts, keloids, and ulcers are secondary lesions resulting from changes to primary lesions.
Question 2 of 5
An unresponsive Caucasian patient has been brought to the emergency room by EMS. While assessing this patient, the nurse notes that the patients face is a cherry-red color. What should the nurse suspect?
Correct Answer: A
Rationale: Carbon monoxide poisoning causes a cherry-red color in light-skinned patients' face and upper torso. Anemia causes pallor, jaundice causes yellowing, and uremia causes a yellow-orange tinge.
Question 3 of 5
A nurse is providing an educational presentation addressing the topic of Protecting Your Skin. When discussing the anatomy of the skin with this group, the nurse should know that what cells are responsible for producing the pigmentation of the skin?
Correct Answer: D
Rationale: Melanocytes produce melanin, the pigment responsible for skin color. Islets of Langerhans are pancreatic cells, squamous cells are epithelial, and T cells are immune cells.
Question 4 of 5
A wound care nurse is reviewing skin anatomy with a group of medical nurses. Which area of the skin would the nurse identify as providing a cushion between the skin layers, muscles, and bones?
Correct Answer: B
Rationale: The subcutaneous tissue (hypodermis) cushions between skin layers, muscles, and bones. The dermis provides strength, the epidermis is the outer layer, and the stratum corneum is the outermost epidermal layer.
Question 5 of 5
A young student comes to the school nurse and shows the nurse a mosquito bite. As the nurse expects, the bite is elevated and has serous fluid contained in the dermis. How would the nurse classify this lesion?
Correct Answer: D
Rationale: A wheal is an elevated lesion with serous fluid in the dermis, such as a mosquito bite. Vesicles contain fluid but are circumscribed, macules are flat, and nodules are solid.