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 is working with a patient who has a diagnosis of Cushing syndrome. When completing a physical assessment, the nurse should specifically observe for what integumentary manifestation?
Correct Answer: D
Rationale: Cushing syndrome causes hirsutism, especially in women, due to excess cortisol. Alopecia, yellowish skin, and bronze pigmentation are not typical features.
Question 2 of 5
The outer layer of the epidermis provides the most effective barrier to penetration of the skin by environmental factors. Which of the following is an example of penetration by an environmental factor?
Correct Answer: A
Rationale: An insect bite represents penetration of the skin by an environmental factor, breaching the stratum corneum. Dehydration, sunburn, and perspiration are not examples of penetration.
Question 3 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 4 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 5 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.