Test 1 Questions

Question 1

What is the integumentary’s accessory organs?

Answer 1

hair, nails, glands

Question 2

The skin is divided into two principle layers:

Answer 2

epidermis and the dermis

Question 3

What does the hypodermic or subcutaneous layer do?

Answer 3

cushions, supports, nourishes, insults, and anchors skin

Question 4

What is the dermis consisted of?

Answer 4

epidermis, dermis, hypodermis

Question 5

The dermis consists of what?

Answer 5

nerve endings, blood vessels, and hair folicles

Question 6

Fx of the integumentary system:

Answer 6

Protect, Thermoregulate, Metabolize nutrients, Sensation, Communicates feelings

Question 7

What is the outtermost layer of the skin?

Answer 7

The epidermis

Question 8

What is the dermis?

Answer 8

The thickest layer of the skin composed of live cells.

Question 9

What does the dermis contain?

Answer 9

blood and lymph vessels, nerves, hair follicles, sweat glands and oil glands

Question 10

Sudoriforous glands

Answer 10

Sweat glands

Question 11

Sebaceous glands

Answer 11

Oil glands

Question 12

What is the hypodermis (subcutaneous)? What does it do?

Answer 12

Middle layer mostly made up of connective tissue and fat.

It stores lipocytes (fat cells)
It regulates body temperature
It cushions and protects

Question 13

What is a persons skin color made of?

Answer 13

3 layers: Melanin, carotene, hemoglobin

Question 14

Melanin

Answer 14

brown-black pigment

Question 15

Carotene

Answer 15

yellowish pigment

Question 16

Hemoglobin

Answer 16

pigment found in red blood cells

Question 17

Ceruminal glands

Answer 17

earwax (cerumen)

Question 18

Radiation

Answer 18

Giving off of infrared heat rays to promote heat loss

ex sun, fire

Question 19

Convection

Answer 19

Transfer of heat from skin to air.

ex fan

Question 20

Evaporation

Answer 20

Returning water to air through vapor

ex sweating

Question 21

Conduction

Answer 21

transfer of heat by direct contact

ex cool cloth on forehead

Question 22

What is vitamin D good for?

Answer 22

Important for grown of bones through absorption of calcium and phosphorus

Question 23

Where is vitamin D produced?

Answer 23

In the skin by sunlight

Question 24

How does skin communicate?

Answer 24

Through stimuli for hot, cold, touch, pain, temperature

Question 25

Aging on the Integumentary system:

Answer 25

• Loss of fat, collagen, and elasticity
• Dermis become thinner
• Decrease pigment
• Formation of brown spots
• Decreased circulation
• Thinning or graying of hair
• Less sweat glands

Question 26

How to maintain healthy skin:

Answer 26

• Proper nutrition
• Adequate circulation
• Regular cleansing
• Careful hand washing
• Limited exposure to sunlight
• Use of sunscreen
• Water!

Question 27

During a health history, the nurse asks what:

Answer 27

• skin allergies
• allergic reactions to food, meds, and chemicals
• previous skin problems
• skin cancer
• any change in hygiene products

Question 28

If a problem during an assessment, the nurse gathers what information:

Answer 28

onset, S/S, location, pain, itching, rash or other discomfort

Question 29

When does vasodilation occur?

Answer 29

during fever, sunburn, and inflammation

Question 30

Erythema

Answer 30

Redness of the skin caused by congestion of capillaries

Question 31

Cyanosis

Answer 31

Bluish discoloration that results from lack of oxygen

Question 32

Macule

Answer 32

< 1cm

Question 33

Patch

Answer 33

> 1cm

Question 34

Macule and Patch examples

Answer 34

freckles, flat moles, petechiae, rubella, vitiligo, port wine stains, ecchymosis

Question 35

Vesicle define.

Give example.

Answer 35

Contains serous fluid
< 1cm
herpes simplex/zoster, chickenpox, poison ivy, burns

Question 36

Bulla define.

Give example.

Answer 36

contains serous fluid
> 1cm
pemphigus, contact dermatitis, large blisters poison ivy

Question 37

Papule

Give examples.

Answer 37

Solid mass, circumscribed border
<1 cm
elevated nevi, wart

Question 38

Plague

Give example.

Answer 38

Solid mass, circumscribed border. may have flat top
> 1cm
psoriasis

Question 39

Wheal

Answer 39

• elevated mass with transient borders
• aka hive
• no fluids
• caused by movement of serous fluid into dermis
• no fluid free vesicles

examples: urticaria (hives), insect bites

Question 40

Pustule

Answer 40

Pus filled vesicle or bulla

Examples: acne, impetigo, carbuncles, furuncles

Question 41

Nodule

Answer 41

solid mass deeper than dermis
0.5 - 2.0 cm circumscribed

example: lipoma, squamous cell carcinoma

Question 42

Tumor

Answer 42

solid mass deep than dermis
1-2 cm may not be circumscribed

examples: larger lipoma, carcinoma, neurofibromas

Question 43

Cyst

Answer 43

• encapsulated fluid filled or semisolid mass
• in subcutaneous tissue or dermis
• examples: sebaceous cyst (acne) or epidermoid cysts

Question 44

Wood’s Light Examination

Answer 44

Use of a high pressure mercury lamp that produces long wave ultraviolet rays. Used for fungal and bacterial infections.

Question 45

Tzanck Smear

Answer 45

Secretions from a suspected lesion are applied to a glass slide, stained, and examined under microscopy

Question 46

Biopsy

Answer 46

The removal of a sample of tissue by excision.

Biopsy confirmes or rules out malignancy

Question 47

Alopecia

Answer 47

Loss of hair

Question 48

Hirsutism

Answer 48

Excessive hair growth in the face, chest, shoulders, and pubic area in women

Question 49

Potassium hyroxide

Answer 49

Confirms fungal skin lesions

Question 50

Patch testing

Answer 50

Allergy testing. Need epic-pen or crash cart nearby!

Question 51

Patch testing levels

Answer 51

Weak: redness, elevation, pruritus
Moderate: fine blisters, papules, and severe itching
Strong: blisters, pain and ulcers

Question 52

Intradermal skin Testing

Answer 52

involves injecting suspected allergens under the skin

Question 53

bathing a client with skin problems:

Answer 53

use mild or soap substitute, rinse and blot dry. Lotion after shower