Question 1

A person's upper body is covered with flat red or purple freckles approximately 1 to 3 mm in diameter that do not blanch. What is the name given to these skin lesions?&#10;A)Cysts&#10;B)Venous stars&#10;C)Petechiae&#10;D)Vesicles

Accepted Answer

Petechiae are small, flat, pinhead-sized red or purple spots on the skin due to bleeding in the skin. They do not blanch when pressed and are typically 1 to 3 mm in diameter. Cysts are fluid-filled sacs under the skin, venous stars are dilated blood vessels, and vesicles are small fluid-filled sacs on the skin. These descriptions do not fit the presentation of the skin lesions described in the question.

Question 2

The nurse is planning to assess an Indigenous Australian's integumentary status. Which of the following findings would indicate the presence of cyanosis in this person?&#10;A)Bluish-tinged mucous membranes&#10;B)Yellow sclera&#10;C)Orange-green cast to the skin&#10;D)Cherry-red nail beds

Accepted Answer

Cyanosis in Indigenous Australians can be difficult to detect due to variations in skin color. However, bluish-tinged mucous membranes can indicate the presence of cyanosis. Yellow sclera and orange-green casts to the skin may indicate other health conditions, while cherry-red nail beds can be a sign of carbon monoxide poisoning.

Question 3

A person has bluish discolouration of the skin. What is the name given to this skin colour change?&#10;A)Erythema&#10;B)Pallor&#10;C)Jaundice&#10;D)Cyanosis

Accepted Answer

Cyanosis is the bluish discoloration of the skin that occurs when there is insufficient oxygen in the blood.

Question 4

An adolescent male has extensive acne over his face and upper neck. What is acne caused by?&#10;A)Blocked sudoriferous glands&#10;B)Inflamed ceruminous glands&#10;C)Blocked apocrine glands&#10;D)Inflamed sebaceous glands

Accepted Answer

Acne is caused by inflammation of sebaceous glands which can become blocked, leading to the accumulation of oil and bacteria that cause pimples, blackheads, and other lesions.

Question 5

A person has jaundice. The nurse would expect which change in laboratory test results to be consistent with jaundice?&#10;A)High levels of serum creatinine&#10;B)Decreased red blood cell count&#10;C)Increased serum bilirubin&#10;D)Low levels of serum albumin

Accepted Answer

Jaundice is a condition characterized by yellowing of the skin and eyes due to an accumulation of bilirubin, a byproduct of red blood cell breakdown. Therefore, the nurse would expect increased levels of serum bilirubin in the laboratory tests of a person with jaundice. High levels of serum creatinine indicate kidney damage, decreased red blood cell count indicates anemia, and low levels of serum albumin suggest liver disease or malnutrition, but none of these are specifically associated with jaundice.

Question 6

During the assessment of an older adult's integumentary status, the nurse notes liver spots on the person's hands. What is this finding due to?&#10;A)Patchy areas of keloid scarring&#10;B)Reduced vitamin D production&#10;C)Decreased blood perfusion of the upper limbs&#10;D)Hyperplasia of melanocytes in sun-exposed areas

Accepted Answer

Liver spots, also known as age spots or solar lentigines, are a result of hyperplasia of melanocytes in sun-exposed areas. They are benign and do not require treatment.

Question 7

The nurse is planning to document the appearance of herpetic lesions found over a person's nose and mouth region. Which of the following terms would the nurse most likely use to describe this finding?&#10;A)Nodular&#10;B)Ulcerated&#10;C)Bullous&#10;D)Pigmented

Accepted Answer

Herpetic lesions, such as those caused by the herpes simplex virus, often present as ulcerated areas. These lesions can break open to form ulcers, which are shallow, open sores on the skin or mucous membranes.

Question 8

The nurse is assessing a person for peripheral oedema. The nurse's findings are that pitting is obvious, with a 4 mm depression and the extremities are swollen. How would the nurse record this finding of oedema?

A)1+
B)2+
C)3+
D)4+

Accepted Answer

2+ pitting edema is characterized by a 4 mm deep pit that does not rapidly refill when pressed.

Question 9

During the assessment of a person's integumentary status, the nurse notes: 'vitiligo present bilateral hands.'' This documentation means that the person has:&#10;A)dark, asymmetrical coloured patches.&#10;B)yellowing of the skin.&#10;C)patches of white spots.&#10;D)grey cast to the skin.

Accepted Answer

Vitiligo is a skin condition characterized by the loss of melanocytes, resulting in patches of depigmentation or white spots on the skin. It can occur anywhere on the body, but is commonly seen on the hands, face, and feet.

Question 10

A person who is scheduled for abdominal surgery is concerned about an unsightly scar. During the preoperative teaching session, what should the nurse explain to the person?&#10;A)There will be no scarring.&#10;B)Plastic surgery can remove the scar at a later date.&#10;C)A scar will be unavoidable.&#10;D)It will depend upon the location and angle of the incision.

Accepted Answer

The appearance of a scar depends on the location and angle of the incision.

Question 11

A person with hair loss (alopecia)comes into the clinic. What is this hair indicative of?&#10;A)Cushing's syndrome&#10;B)Changes in hormones&#10;C)Poor nutrition&#10;D)Vitamin D deficiency

Accepted Answer

The answer of A person with hair loss (alopecia)comes into...

Question 12

The nurse is conducting an interview about a person's integumentary status. Which of the following characteristics would cause the nurse to focus on risk factors for skin cancer?&#10;A)Lives in Hobart, Tasmania&#10;B)Female, age 35&#10;C)Blond hair and blue eyes&#10;D)Works in an office

Accepted Answer

The answer of The nurse is conducting an interview about...

Question 13

A person is waiting to have a skin biopsy and asks, 'What is going to happen when this is done?' Which of the following would be an appropriate response for the nurse to make?&#10;A)'Maybe you shouldn't have it done'.&#10;B)'Only the doctor can discuss this with you'.&#10;C)'Let me check to see exactly what you are having done, and then we can talk more about what you can expect'.&#10;D)'Didn't your doctor tell you?'

Accepted Answer

The answer of A person is waiting to have a...

Question 14

The nurse is preparing to assess a person's integumentary status. Which of the following techniques should the nurse use to conduct this assessment?&#10;A)Percussion and palpation&#10;B)Inspection and palpation&#10;C)Inspection and percussion&#10;D)Palpation and auscultation

Accepted Answer

The answer of The nurse is preparing to assess a...

Question 15

After the completion of an integumentary status assessment, the nurse documents: '+1 oedema right lower leg'. What does this documentation mean?&#10;A)Slight pitting, no obvious distortion&#10;B)Deeper pit, no obvious distortion&#10;C)Pitting is obvious; extremities are swollen&#10;D)Pitting remains with obvious distortion

Accepted Answer

The answer of After the completion of an integumentary status...

Deck 14: A Person-Centred Approach to Assessing the Integumentary System