ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 60 : Assessment of Integumentary Function Questions
Question 1 of 5
While assessing a 25 -year-old female, the nurse notes that the patient has hair on her lower abdomen. Earlier in the health interview, the patient stated that her menses are irregular. The nurse should suspect what type of health problem?
Correct Answer: C
Rationale: Hair on the lower abdomen with irregular menses suggests a hormonal imbalance, possibly due to elevated testosterone. This is inconsistent with metabolic disorders, malignancy, or infections.
Question 2 of 5
An 82-year-old patient is being treated in the hospital for a sacral pressure ulcer. What age-related change is most likely to affect the patients course of treatment?
Correct Answer: D
Rationale: Aging slows wound healing, complicating treatment of pressure ulcers. Subcutaneous tissue and vascular supply decrease with age, and skin flora does not significantly change.
Question 3 of 5
A nurse is preparing to perform the physical assessment of a newly admitted patient. During which of the following components of the assessment should the nurse wear gloves? Select all that apply.
Correct Answer: C,D
Rationale: Gloves are required when palpating rashes or lesions to prevent contact with potential infectious material. Palpation of scalp, extremities, or fingers does not typically require gloves unless body fluids are present.
Question 4 of 5
A patient with an exceptionally low body mass index has been admitted to the emergency department with signs and symptoms of hypothermia. The nurse should know that this patients susceptibility to heat loss is related to atrophy of what skin component?
Correct Answer: D
Rationale: Subcutaneous tissue, with its fat content, insulates against heat loss. Atrophy in patients with low BMI increases hypothermia risk. The epidermis, Merkel cells, and dermis do not primarily regulate temperature.
Question 5 of 5
A nurse is reviewing gerontologic considerations relating to the care of patients with dermatologic problems. What vulnerability results from the age-related loss of subcutaneous tissue?
Correct Answer: C
Rationale: Loss of subcutaneous tissue reduces cushioning and insulation for underlying tissues and organs. It does not directly affect UV resistance, infection risk, or malignancy risk.