ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 60 Questions
Question 1 of 5
The nurse is performing a comprehensive assessment of a patients skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way?
Correct Answer: C
Rationale: Palpation assesses skin moisture, temperature, and texture. Woods light is for pigmentation, sunlight is impractical, and percussion is not used for skin assessment.
Question 2 of 5
An older adult patient is diagnosed with a vitamin D deficiency. What would be an appropriate recommendation by the nurse?
Correct Answer: A
Rationale: Sun exposure twice weekly promotes vitamin D synthesis in the skin. Leafy greens, multivitamins, and red meat may not adequately address a specific vitamin D deficiency.
Question 3 of 5
A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to facilitate what diagnostic test to rule out a skin malignancy?
Correct Answer: B
Rationale: A skin biopsy is used to diagnose or rule out skin malignancies like melanoma. Tzanck smears diagnose blistering conditions, patch testing identifies allergens, and skin scrapings detect fungal infections.
Question 4 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 5 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.