ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 61 : Managements of Patients with Dermatologic Problems Questions
Question 1 of 5
A nurse is leading a health promotion workshop that is focusing on cancer prevention. What action is most likely to reduce participants risks of basal cell carcinoma (BCC)?
Correct Answer: C
Rationale: Limiting sun exposure is the most effective way to reduce BCC risk, as UV radiation is the primary cause. Nutrition, family history, and other radiation exposures are less directly related.
Question 2 of 5
A patient diagnosed with a stasis ulcer has been hospitalized. There is an order to change the dressing and provide wound care. Which activity should the nurse first perform when providing wound care?
Correct Answer: C
Rationale: Hand hygiene is the first step in wound care to prevent infection, per standard precautions. Assessing drainage, removing the dressing, and donning gloves follow.
Question 3 of 5
A patient comes to the clinic complaining of a red rash of small, fluid-filled blisters and is suspected of having herpes zoster. What presentation is most consistent with herpes zoster?
Correct Answer: D
Rationale: Herpes zoster presents as grouped vesicles along a dermatome due to dorsal root ganglia inflammation. Lip vesicles suggest herpes simplex type 1, genital vesicles suggest type 2, and rough protrusions indicate warts.
Question 4 of 5
A patient with a chronic diabetic wound is being discharged after receiving a skin graft to aid wound healing. What direction should the nurse include in home care instructions?
Correct Answer: B
Rationale: Protecting the graft from sunlight and temperature extremes prevents thermal injury and promotes healing. Massage and antibiotics are not standard, and avoiding all moisture for 12 weeks is impractical.
Question 5 of 5
A patient presents at the free clinic with a black, wart-like lesion on his face, stating, Ive done some research, and Im pretty sure I have malignant melanoma. Subsequent diagnostic testing results in a diagnosis of seborrheic keratosis. The nurse should recognize what significance of this diagnosis?
Correct Answer: A
Rationale: Seborrheic keratosis is benign and requires no treatment unless cosmetically bothersome. It is not malignant, so chemotherapy or excision is unnecessary, and observation is not required.