ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 60 : Assessment of Integumentary Function Questions
Question 1 of 5
Assessment of a patients leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?
Correct Answer: B
Rationale: An ulcer involves skin loss past the epidermis with necrotic tissue. Keloids are scar tissue, fissures are linear, and erosions are superficial.
Question 2 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 3 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 4 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 5 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.