Week 6

Question 1

What secondary lesion is caused by epidermis loss due to moisture?

Answer 1

Maceration

Question 2

The skin layer that is shiny, pink, and exquisitely tender is:

Answer 2

Dermis

Question 3

The integumentary system consists of:

Answer 3

• Hair
• Skin
• Nails

Question 4

The lesion associated with allergies and hypersensitivity reactions is called:

Answer 4

Wheal

Question 5

A rash that is a collection of raised red papules with surrounding flat red spots is called:

Answer 5

Maculopapular

Question 6

The difference between a vesicles and a pustule is that the vesicle is filled with:

Answer 6

Clear fluid

Question 7

The patient says, “My freckles must go with my red hair.” The nurse knows a freckle is also called a __________.

Answer 7

Macule

Question 8

Changes in skin color are significant. Which of these skin color changes indicates a lack of oxygen?

Answer 8

Cyanosis

Question 9

When the nurse finds a lesion, the texture should be assessed by palpation. Note these opposing terms and fill in the blank: rough or smooth; moist or ______.

Answer 9

Dry

Question 10

Skin that found in areas of the body where there is friction, such as the axillary or pubic region is:

Answer 10

Intertriginous

Question 11

The nurse is checking the skin temperature of a red spot on a patient’s leg. Which part of the hand should be used?

Answer 11

Back of the hands/fingers

Question 12

The difference between a primary and a secondary lesion is that the secondary lesion:

Answer 12

Develops as a response to the primary lesion

Question 13

Baldness is an integumentary problem called:

Answer 13

Alopecia

Question 14

Yellow nails that have a rough surface are suspected to be:

Answer 14

Onchomycosis

Question 15

The nurse blanches a cold foot and measures the time it takes to return to the original color. How much time would indicate poor capillary bed perfusion?

Answer 15

Anything over 3 seconds

Question 16

Which part of the peripheral vascular system is responsible for removing proteins and fluid from the interstitial fluid?

Answer 16

Lymphatic

Question 17

The peripheral vascular systems that rely on muscle contraction to return fluid to the central circulation are the lymphatic and

Answer 17

Venous

Question 18

The arterial pulse is found in the inguinal area. What is the name?

Answer 18

Femoral

Question 19

Grade the pulse the can be palpated by lightly touching the skin over a pulse point

Answer 19

3+

Question 20

What stage is a pressure ulcer that is red but can not be blanched?

Answer 20

Stage I pressure ulcer

Question 21

The nurse suspects her patient has arterial insufficiency of the lower legs. Which of these would support that diagnosis?
A. Brown skin
B. Edema greater than 1+ 
C. Thickened skin
D. Thin, shiny skin

Answer 21

Thin, shiny skin

Question 22

The nurse presses on a slightly distorted limb, which leaves an indentation about 4mm. The indentation does not refill for 15 seconds. What grade edema is this?

Answer 22

2+

Question 23

An expecting normal finding for palpation of lymph node is:

Answer 23

No palpable nodes