While inspecting the skin of a patient's arm the nurse notes lesions that are clustered together. How should the nurse document this finding?

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Integumentary System Quiz Questions Questions

Question 1 of 5

While inspecting the skin of a patient's arm the nurse notes lesions that are clustered together. How should the nurse document this finding?

Correct Answer: C

Rationale: Grouped lesions are clustered together, unlike linear, discrete, or confluent patterns.

Question 2 of 5

A patient has returned to the postsurgical unit from the PACU after an above-the-knee amputation of the right leg. Results of the nurse's initial postsurgical assessment were unremarkable but the patient has called out. The nurse enters the room and observes copious quantities of blood at the surgical site. What should be the nurse's initial action?

Correct Answer: A

Rationale: The nurse should apply a tourniquet in the event of postsurgical hemorrhage. Elevating the limb and applying sterile gauze are likely insufficient to stop the hemorrhage. The nurse should attempt to control the immediate bleeding before contacting the surgeon.

Question 3 of 5

The nurse notes that a patient with a skin rash has an elevated white blood cell count. What should this information suggest to the nurse?

Correct Answer: A

Rationale: An elevated white blood cell count indicates the presence of an infection.

Question 4 of 5

An 11-year-old child received burns over both upper and lower arms, both hands, anterior upper and lower legs, anterior chest, and the neck. Using the following as a guide, what is this child's total body surface area burned?

Correct Answer: C

Rationale: For an 11-year-old: Head (11%), Neck (2%), Anterior trunk (13%), R/L upper arms (4% each = 8%), R/L lower arms (3% each = 6%), R/L hands (2.5% each = 5%), R/L thighs (8.5% each = 17%), R/L legs (6.5% each = 13%). Total = 57%.

Question 5 of 5

The nurse is preparing an educational tool to teach high school students about skin cancer. What should the nurse highlight as being the most common precancerous lesion?

Correct Answer: D

Rationale: Actinic keratoses are the most common precancerous lesions, often progressing to squamous cell carcinoma if untreated.

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