ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 60 : Assessment of Integumentary Function Questions
Question 1 of 5
The nurse in an ambulatory care center is admitting an older adult patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what?
Correct Answer: A
Rationale: Cherry angiomas are benign, bright red moles common in older adults. Solar lentigo are liver spots, seborrheickeratoses are crusty brown patches, and xanthelasma are yellowish deposits on the eyelids.
Question 2 of 5
While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?
Correct Answer: D
Rationale: Vitiligo is characterized by patchy, milky white spots due to the destruction of melanocytes. Cyanosis causes dusky nail beds, Addisons disease results in a bronzed appearance, and polycythemia causes a ruddy blue coloration.
Question 3 of 5
While waiting to see the physician, a patient shows the nurse skin areas that are flat, nonpalpable, and have had a change of color. The nurse recognizes that the patient is demonstrating what?
Correct Answer: A
Rationale: Macules are flat, nonpalpable skin color changes. Papules are elevated and solid, vesicles contain serous fluid, and pustules are pus-filled.
Question 4 of 5
An African American is admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what body area should the nurse look for yellow discoloration?
Correct Answer: D
Rationale: Jaundice, caused by elevated serum bilirubin, is best observed in the sclerae and mucous membranes, especially in darker-skinned individuals where skin pigmentation may mask changes.
Question 5 of 5
A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patients chest. The nurse should ask what priority question regarding the presence of a reddened rash?
Correct Answer: B
Rationale: A new rash during antibiotic therapy suggests a possible allergic reaction, which could be life-threatening. Assessing for allergies is the priority over timing, sensation, or pain.