Deck 41: Skin Disorders

Question 1

What is the diagnostic finding of psoriasis?
1) Auspitz sign
2) Herald patch
3) Angioedema
4) Pruritus

Answer 1

1

Question 2

Which disorder shows the characteristic symptom of koilonychia?
1) Endocarditis
2) Hypoferremia
3) Hypoalbuminemia
4) Rheumatoid arthritis

Answer 2

2

Question 3

The primary health care provider is assessing moles present on various parts of a client's body. Which trait of the mole indicates that the mole is non-cancerous?
1) Asymmetric
2) Round-shaped
3) Varied color
4) Size greater than 6 mm

Answer 3

2

Question 4

Which type of melanoma is characterized by deep, penetrative growth and early metastasis?
1) Superficial spreading melanoma
2) Lentigo maligna melanoma
3) Acral lentiginous melanoma
4) Nodular melanoma

Question 5

After an assessment, the nurse discovers a ringworm infection on the client's hand. What should the nurse document in the client's medical record?
1) Tinea manus
2) Tinea capitis
3) Tinea unguium
4) Tinea pedis

Question 6

The registered nurse is teaching a group of student nurses about disorders of the nails. Which statement made by the student nurse indicates a need for further teaching?
1) "Beau's lines occur in rheumatoid arthritis."
2) "Splinter hemorrhages occur in endocarditis."
3) "Yellow nail syndrome occurs in immunodeficiency."
4) "Onycholysis occurs in thyroid diseases."

Question 7

A client shows non-inflammatory open comedones on the skin along with the presence of lesions. Which microorganism infection will the nurse suspect in the client?
1) Staphylococcus aureus
2) Propionibacterium acnes
3) Pseudomonas species
4) Borrelia burgdorferi

Question 8

While caring for a client with an autoimmune skin disorder, the nurse observes a red-colored, butterfly-patterned lesion over the client's nose and cheeks. After reviewing the skin biopsy reports, the nurse also finds deposits of IgM immunoglobulin in the lesions of the client. Which skin disorder should the nurse expect to find in the medical record of this client?
1) Scleroderma
2) Systemic lupus erythematosus
3) Pemphigus
4) Erythema multiforme

Question 9

A client is diagnosed with plugging and clogging of apocrine sweat gland openings on the skin. What instructions should the nurse give to this client?
1) Eat high amounts of fat-containing foods.
2) Use anti-bacterial soaps daily.
3) Shave the axillary and groin areas.
4) Take oral corticosteroids daily.

Question 10

The registered nurse is teaching a group of student nurses about the terminologies used to describe skin lesions. Which statement made by the student nurse needs correction?
1) "The dried yellowish and yellow-brown exudate on the skin is called crust."
2) "The hardening or thickening of the skin is referred to as erythema."
3) "Bulla is a blister with a diameter greater than 0.5 cm."
4) "Atrophy is thinning and loss of skin layers."

Question 11

An 8-year-old child diagnosed with Stevens-Johnson syndrome is admitted to the hospital. Which symptom should the nurse find in this child?
1) A group of dome-shaped papules
2) A butterfly-patterned lesion
3) A Herald patch
4) A bull's eye lesion

Question 12

Which birthmarks are characterized by pink, patch-like lesions that occur from permanent blood vessel abnormalities?
1) Port wine stains
2) Strawberry hemangiomas
3) Spider veins
4) Mongolian spot

Question 13

The registered nurse is teaching a group of student nurses about terminologies used to describe skin lesions. Which statement made by the student nurse indicates a need for further teaching?
1) "A papule filled with pus is called a pustule."
2) "A purpura is a purplish lesion caused by free red blood cells in the skin."
3) "A scar is the permanent replacement of normal skin with connective tissue."
4) "The loss of epidermal and dermal tissue is called telangiectasia."

Question 14

Which part of the body is infected in a client with tinea cruris infection?
1) Groin
2) Foot
3) Scalp
4) Nails

Question 15

The nurse finds the medication betamethasone in the prescription of a client with skin disorder. Which skin disorder does the nurse suspect in the client?
1) Eczema
2) Contact dermatitis
3) Seborrheic dermatitis
4) None of the above

Question 16

While reviewing the medical record of a client with a skin disorder, the nurse finds the term "lichenification" in the record. Which symptom would the nurse anticipate to assess in this client?
1) A hardening or thickening of the skin with markings
2) An irregular, elevated scar tissue
3) A crack in the skin that breaks through keratin
4) A scratch that breaks the skin's surface

Question 17

While treating a client who is diagnosed with melanoma, the primary health care provider also finds tumors in the liver. Which stage of melanoma is the client in, based on the primary health care provider's finding?
1) Stage 0
2) Stage II
3) Stage III
4) Stage IV

Question 18

While caring for a client with a skin disorder, the nurse finds wheals on the skin, as well as swelling of the eyes, face, lips and the mucous membranes of the client. Which could be the reason for this disorder in the client?
1) Inflammation of the sebaceous glands
2) Release of histamine from mast cells
3) Delayed hypersensitivity reaction to metals
4) Increased levels of immunoglobulin IgE levels

Question 19

While caring for a client with a skin disorder, the nurse observes a cherry-red, dome-shaped papule over the abdomen of the client. Which skin disorder would the nurse anticipate in this client, based on this finding?
1) Telangiectasias
2) Systemic lupus erythematosus
3) Senile angiomas
4) Venous lakes

Question 20

While reviewing the medical record of a client with a skin disorder, the nurse finds a history of onycholysis. Which symptom should the nurse expect to find in this client?
1) Spooning of the nails
2) Pitting of the nails
3) Separation of the nails from the nail beds
4) Thickened and discolored nails

Question 21

Which skin disorders are disorders of the hair?
1) Telogen effluvium
2) Acanthosis nigricans
3) Hidradenitis suppurativa
4) Alopecia areata
5) Acne vulgaris

Question 22

While reviewing the medical record of a client with a skin disorder, the nurse finds the term "plaque" in the client's record. Which symptom may the nurse expect in this client?
1) Large blister greater than 0.5 cm in diameter
2) Solid lump greater than 0.5 cm in diameter
3) Raised, well-defined lesion less than 0.5 cm in diameter
4) Raised, flat-topped lesion greater than 2 cm in diameter

Question 23

Which client is at high risk for psoriasis?
1) The client who uses the medication plaquenil
2) The client who has a history of skin trauma
3) The client who uses the medication lithium
4) The client who has a family history of hay fever
5) The client who has elevated immunoglobulin IgE levels

Question 24

Which client may show symptoms of hyperhydrosis?
1) A client who takes phenylephrine
2) A client who has hyperthyroidism
3) A client who has peripheral neuritis
4) A client who takes alprazolam
5) A client who has febrile disease

Question 25

Which disorders are precursors to malignant melanoma? Select all that apply,
1) Benign nevus
2) Psoriatic plaques
3) Dysplastic nevus
4) Keloid formation
5) Lentigo maligna